Abstract
Myocardial Bridging (MB) is a congenital anomaly in which a segment of a coronary artery takes a 'tunneled' intramuscular course under a 'bridge' of overlying myocardium. The first reference of MB in coronary arteries, the association with angina and anatomically as referred by Reyman in 1737. Considered a 'benign' finding since the myocardial bridge causes coronary artery narrowing during systole therefore myocardial bridges should not compromise blood supply to the musculature during diastole. The Left Anterior Descending coronary (LAD) is the most frequently affected vessel (70% in an autopsy series) and in some cases hearts contain more than one bridge, affecting the same vessel or different coronaries.
Highlights
The first reference of Myocardial Bridging (MB) was Reymann, H, the anatomically description Published in the Dissertationem inauguralem De Vasis Cordis Propriis, written in Latin, described anatomically the presence of MB in a description and their relationship with angina in 1937
The new technologies as intravascular ultrasound and valuation in Fractional flow reserve or Cardiac Computed Tomography Angiography (CCTA) they allow to visualize the coronary anatomy with more precision and better visualization of MB in Left Anterior Descending coronary (LAD) besides that study in another arteries, in LAD and correlate the symptoms with these findings
In 1961, Polacek was the first to use the term “myocardial bridge” when described these formations calling them as MB, referred occur in 85.7% of all hearts; the occurrence is more frequent in the region of the left coronary artery in a study of 70 patients [5] (Figure 1)
Summary
The first reference of MB was Reymann, H, the anatomically description Published in the Dissertationem inauguralem De Vasis Cordis Propriis, written in Latin, described anatomically the presence of MB in a description and their relationship with angina in 1937. The new technologies as intravascular ultrasound and valuation in Fractional flow reserve or Cardiac Computed Tomography Angiography (CCTA) they allow to visualize the coronary anatomy with more precision and better visualization of MB in LAD besides that study in another arteries (branch arteries), in LAD and correlate the symptoms with these findings.
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
