Myocardial bridges: Overview of diagnosis and management

Congenit Heart Dis. 2017 Sep;12(5):619-623. doi: 10.1111/chd.12499. Epub 2017 Jul 3.

Abstract

A myocardial bridge is a segment of a coronary artery that travels into the myocardium instead of the normal epicardial course. Although it is general perception that myocardial bridges are normal variants, patients with myocardial bridges can present with symptoms, such as exertional chest pain, that cannot be explained by a secondary etiology. Such patients may benefit from individualized medical/surgical therapy. This article describes the prevalence, clinical presentation, classification, evaluation, and management of children and adults with symptomatic myocardial bridges.

Keywords: intramyocardial coronary artery; myocardial bridge; myocardial ischemia; sudden cardiac death.

Publication types

  • Review

MeSH terms

  • Computed Tomography Angiography
  • Coronary Angiography
  • Coronary Artery Bypass / methods*
  • Coronary Vessel Anomalies / diagnosis*
  • Coronary Vessel Anomalies / surgery
  • Coronary Vessels / diagnostic imaging*
  • Coronary Vessels / surgery
  • Diagnostic Imaging / methods*
  • Humans
  • Magnetic Resonance Imaging, Cine
  • Tomography, Emission-Computed, Single-Photon
  • Ultrasonography, Interventional