Epicardial coronary artery may enter into the heart muscle in some areas and be compressed by muscle fibers. This is termed as myocardial bridging. Although previously considered to be benign, rarely it may cause serious clinical pictures such as angina, myocardial infarction, arrhythmias and sudden cardiac death. Treatment is medical and surgical. We presented a patient with acute coronary syndrome due to myocardial bridging of left anterior descending coronary artery
Noble J, Bourassa MG, Petitclerc R, Dyrda Y. Myocardial bridging and milking effect of the left anterior descending coronary artery: normal variant or obstruction? Am J Cardiol 1976;37(7):993–9.
Juilliére Y, Berder V, Suty-Selton C et al. Isolated
myocardial bridges with angiographic milking of the left anterior descending coronary artery: a long-term follow-up study. Am Heart J.1995;129(4):663-5.
Bourassa MG, Butnaru A, Lespérance J, Tardif JC. Symptomatic myocardial bridges: overview of ischemic mechanisms and current diagnostic and treatment strategies. J Am Coll Cardiol. 20035;41(3):351-9.
Channer KS, Bukis E, Hartnell G, Rees JR. Myocardial bridging of the coronary arteries. Clin Radiol. 1989;40(4):355-9.
Cay S, Oztürk S, Cihan G, Kisacik HL, Korkmaz S.
Angiographic prevalence of myocardial bridging. Anadolu Kardiyol Derg. 2006;6(1):9-12
Li JJ, Shang ZL, Yao M, Li J, et al. Angiographic prevalence of myocardial bridging in a defined very large number of Chinese patients with chest pain. Chin Med J (Engl). 2008;121(5):405-8.
Ferreira AG Jr, Trotter SE, König B, et al. Myocardial
bridges: morphological and functional aspects. Br Heart J. 1991;66(5):364–7.
ÖZET
Epikardiyal seyreden koroner arterin bazı bölgelerde kalp kası içinde girmesi ve üzerinden geçen kas lifleri tarafından basıya uğraması miyokardiyal köprüleme olarak isimlendirilmektedir. Daha önceleri iyi huylu kabul edilmesine rağmen angina, miyokard infaktüsü, aritmi ve ani ölüm gibi ciddi klinik tablolara nadiren yol açabildiği ortaya konmuştur. Tıbbi ve cerrahi olarak tedavi edilmektedir. Sol ön inen koroner arterdeki miyokardiyal köprülemenin neden olduğu akut koroner sendromlu hastayı sunduk.
Anahtar kelimeler: Koroner damarlar, Miyokard köprülemesi, Akut koroner sendrom
Noble J, Bourassa MG, Petitclerc R, Dyrda Y. Myocardial bridging and milking effect of the left anterior descending coronary artery: normal variant or obstruction? Am J Cardiol 1976;37(7):993–9.
Juilliére Y, Berder V, Suty-Selton C et al. Isolated
myocardial bridges with angiographic milking of the left anterior descending coronary artery: a long-term follow-up study. Am Heart J.1995;129(4):663-5.
Bourassa MG, Butnaru A, Lespérance J, Tardif JC. Symptomatic myocardial bridges: overview of ischemic mechanisms and current diagnostic and treatment strategies. J Am Coll Cardiol. 20035;41(3):351-9.
Channer KS, Bukis E, Hartnell G, Rees JR. Myocardial bridging of the coronary arteries. Clin Radiol. 1989;40(4):355-9.
Cay S, Oztürk S, Cihan G, Kisacik HL, Korkmaz S.
Angiographic prevalence of myocardial bridging. Anadolu Kardiyol Derg. 2006;6(1):9-12
Li JJ, Shang ZL, Yao M, Li J, et al. Angiographic prevalence of myocardial bridging in a defined very large number of Chinese patients with chest pain. Chin Med J (Engl). 2008;121(5):405-8.
Ferreira AG Jr, Trotter SE, König B, et al. Myocardial
bridges: morphological and functional aspects. Br Heart J. 1991;66(5):364–7.
Alpsoy, Ş., Akyüz, A., Akkoyun, D., Gür, Ö., et al. (2015). Sol İnen Koroner Arterdeki Miyokard Köprülemesinin Neden Olduğu Akut Koroner Sendrom. International Journal of Basic and Clinical Medicine, 1(1), 54-57.
AMA
Alpsoy Ş, Akyüz A, Akkoyun D, Gür Ö, Değirmenci H. Sol İnen Koroner Arterdeki Miyokard Köprülemesinin Neden Olduğu Akut Koroner Sendrom. International Journal of Basic and Clinical Medicine. March 2015;1(1):54-57.
Chicago
Alpsoy, Şeref, Aydın Akyüz, Dursun Akkoyun, Özcan Gür, and Hasan Değirmenci. “Sol İnen Koroner Arterdeki Miyokard Köprülemesinin Neden Olduğu Akut Koroner Sendrom”. International Journal of Basic and Clinical Medicine 1, no. 1 (March 2015): 54-57.
EndNote
Alpsoy Ş, Akyüz A, Akkoyun D, Gür Ö, Değirmenci H (March 1, 2015) Sol İnen Koroner Arterdeki Miyokard Köprülemesinin Neden Olduğu Akut Koroner Sendrom. International Journal of Basic and Clinical Medicine 1 1 54–57.
IEEE
Ş. Alpsoy, A. Akyüz, D. Akkoyun, Ö. Gür, and H. Değirmenci, “Sol İnen Koroner Arterdeki Miyokard Köprülemesinin Neden Olduğu Akut Koroner Sendrom”, International Journal of Basic and Clinical Medicine, vol. 1, no. 1, pp. 54–57, 2015.
ISNAD
Alpsoy, Şeref et al. “Sol İnen Koroner Arterdeki Miyokard Köprülemesinin Neden Olduğu Akut Koroner Sendrom”. International Journal of Basic and Clinical Medicine 1/1 (March 2015), 54-57.
JAMA
Alpsoy Ş, Akyüz A, Akkoyun D, Gür Ö, Değirmenci H. Sol İnen Koroner Arterdeki Miyokard Köprülemesinin Neden Olduğu Akut Koroner Sendrom. International Journal of Basic and Clinical Medicine. 2015;1:54–57.
MLA
Alpsoy, Şeref et al. “Sol İnen Koroner Arterdeki Miyokard Köprülemesinin Neden Olduğu Akut Koroner Sendrom”. International Journal of Basic and Clinical Medicine, vol. 1, no. 1, 2015, pp. 54-57.
Vancouver
Alpsoy Ş, Akyüz A, Akkoyun D, Gür Ö, Değirmenci H. Sol İnen Koroner Arterdeki Miyokard Köprülemesinin Neden Olduğu Akut Koroner Sendrom. International Journal of Basic and Clinical Medicine. 2015;1(1):54-7.