Epicardial fibrosis mimicking a myocardial bridge

Konstantinos Dean Boudoulas; Ahmet Kilic

doi:10.1093/icvts/ivu122

Epicardial fibrosis mimicking a myocardial bridge

Konstantinos Dean Boudoulas, Ahmet Kilic

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Coronary artery compression during left ventricular systole is usually the result of a segment of coronary artery tunnelling within the myocardium, termed a 'myocardial bridge'. A 49-year-old man presented with acute anterior wall myocardial infarction thought to be secondary to a myocardial bridge seen during coronary arteriography; however, in the operating room the entire left anterior descending artery had a normal epicardial course without evidence of an intramyocardial segment, and coronary artery compression was the result of overlying fibrotic tissue, which was successfully excised. Overlying epicardial coronary artery fibrosis should be in the differential diagnosis of coronary artery compression.

Original language	English (US)
Pages (from-to)	336-338
Number of pages	3
Journal	Interactive cardiovascular and thoracic surgery
Volume	19
Issue number	2
DOIs	https://doi.org/10.1093/icvts/ivu122
State	Published - Aug 2014
Externally published	Yes

Keywords

Acute myocardial infarction
Artery compression
Fibrosis

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1093/icvts/ivu122

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abstract = "Coronary artery compression during left ventricular systole is usually the result of a segment of coronary artery tunnelling within the myocardium, termed a 'myocardial bridge'. A 49-year-old man presented with acute anterior wall myocardial infarction thought to be secondary to a myocardial bridge seen during coronary arteriography; however, in the operating room the entire left anterior descending artery had a normal epicardial course without evidence of an intramyocardial segment, and coronary artery compression was the result of overlying fibrotic tissue, which was successfully excised. Overlying epicardial coronary artery fibrosis should be in the differential diagnosis of coronary artery compression.",

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AB - Coronary artery compression during left ventricular systole is usually the result of a segment of coronary artery tunnelling within the myocardium, termed a 'myocardial bridge'. A 49-year-old man presented with acute anterior wall myocardial infarction thought to be secondary to a myocardial bridge seen during coronary arteriography; however, in the operating room the entire left anterior descending artery had a normal epicardial course without evidence of an intramyocardial segment, and coronary artery compression was the result of overlying fibrotic tissue, which was successfully excised. Overlying epicardial coronary artery fibrosis should be in the differential diagnosis of coronary artery compression.

KW - Acute myocardial infarction

KW - Artery compression

KW - Fibrosis

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Epicardial fibrosis mimicking a myocardial bridge

Abstract

Keywords

ASJC Scopus subject areas

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