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Myocardial bridges of coronary arteries

Abstract

This literature review focuses on terminology, prevalence, diagnostics, clinical course features, and treatment of coronary artery myocardial bridges (MB). Ischemia pathogenetic mechanisms, MB clinical role and non‑invasive diagnostics by intravascular ultrasound are emphasized. The author analyzes principal studies (3.4‑11‑year follow‑up) on life prognosis in patients with angina‑like clinics and MB.

About the Author

Z. A. Bagmanova
Republic Cardiology Dispanser, Ufa, Bashkortostan Republic
Russian Federation


References

1. Antman EM, Braunwald E. Acute myocardial infarction. In: Heart disease: a textbook of cardiovascular medicine, fifth edition/[edited by] Eugene Braunwald. Philadelphia, United States of America: W.B. Saunders Company 1997;1184-288.

2. Geringer E. The mural coronary. Am Heart J 1951; 41: 359-68.

3. Noble J, Bourassa MG, Petitclerc R, et al. Myocardial bridging and milking effect of the left anterior descending coronary artery: normal variant or obstruction? Am J Cardiol 1976; 37: 993-9.

4. Angelini P, Tivellato M, Donis J, et al. Myocardial bridges: a review. Prog Cardiovasc Dis 1983; 26: 75-88.

5. Edvards JC, Burnsides C, Swarm RL, et al. Arteriosclerosis in the intramural and extramural portions of coronary arteries in the human heart. Circulation 1956; 13: 235-41.

6. Ferreira AGJr, Trotter SE, Konig B, et al. Myocardial bridges: morphological and functional aspects. Br Heart J 1991; 66: 364-7.

7. Polacek P, Kralove H. Relation of myocardial bridges and loops on the coronary arteries to coronary occlusions. Am Heart J 1961; 61: 44-52.

8. Risse M, Weiler G. Die koronare Muskelbrucke und ihre Beziehung zu lokaler Koronarsklerose, regionaler Myocardischamie und Koronarspasmus. Eine morphometrische Studie. Z Kardiol 1985; 74: 700-5.

9. Wymore P, Yedlicka JW, Garsia-Medina V, et al. The incidence of myocardial bridges in heart transplants. Cardiovasc Intervent Radiol 1989; 12: 202-6.

10. Achrafi H. Hypertrophic cardiomyopathy and myocardial bridging. Int J Cardiol 1992; 37: 111-2.

11. Diefenbach C, Erbel R, Treese N. et al. Haufigkeit von Myocardbrucken nach adrenerger Stimulation und Nachlastsenkung bei Patienten mit Angina Pectoris, aber unauffalligen Koronararterien. Z Kardiol 1994; 83: 809-15.

12. Iversen S, Hake U, Meyer E, et al. Surgical treatment of myocardial bridging causing coronary artery obstruction. Scand J Thor Cardiovasc Surg 1992; 26: 107-11.

13. Polacek P, Zechmeister A. The occurrence and significance of myocardial bridges and loops on coronary arteries. In: V. Krutna, ed. Monograph 36, Opuscola Cardiologica. Acta Facultatis Medicae Universitetis Brunenses. University J.E. Purkinje, Brno 1968; 1-99.

14. van Nie CL, Vincent JG. Myocardial bridges in animals. Anat Histol Embryol 1989; 18: 45-51.

15. Hort W. Anatomie und Pathologie der Koronararterien. B. Muskelbrucken der Koronararterien. In: W. Hort, Hrsg. Pathologie des Endokards, der Koronararterien und des Myokards. Berlin, Germany: Springer-Verlag, Heidelberg 2000; 220-31.

16. Giampalmo A, Bronzini E, Bandini T. Sulla minor compromissione aterosclerotica delle arterie coronarie quando siano (per variante anatomica) in situazione intramiocardica. Giornale Ital Arterioscl 1964; 2: 1-14.

17. Yetman AT, McCrindle BW, McDonald C, et al. Myocardial bridging in children with hypertrophic cardiomyopathy – a risk factor for sudden cardiac death. N Engl J Med 1998; 339: 1201-9.

18. Yetman AT, Hamilton RM, Benson LN, et al. Long-term outcome and prognosis determinants in children with hypertrophic cardiomyopathy. JACC 1998; 32: 1943-50.

19. Mohiddin SA, Begley D, Shin J, et al. Myocardial bridging does not predict sudden death in children with hypertrophic cardiomyopathy but is associated with more severe cardiac disease. JACC 2000; 36: 2270-8.

20. Penther P, Blanc JJ, Boschat J, et al. L`artere interventriculaire anterieure intramurale: etude anatomique. Arch Mal Coeur 1977; 70: 1075-9.

21. Desseigne P, Tabib A, Loire R. Pont myocardique sur l`interventriculaire anterieure et mort subite. A propos de 19 cas autopsies. Arch Mal Coeur 1991; 84: 511-6.

22. Бабунашвили А.М., Рабкин И.Х., Иванов В.А. Коронарная ангиопластика. Москва, Изд-во АСВ 1996; 260-2.

23. Ishii T, Asuwa N, Masuda S, et al. The effects of a myocardial bridge on coronary atherosclerosis and ischemia. J Phatol 1998; 185: 4-9.

24. Ishikawa Y, Ishii T, Asuwa N, et al. Absence of atherosclerosis evolution in the coronary arterial segment covered by myocardial tissue in cholesterol-fed rabbits. Virchows Arch 1997; 430: 163-71.

25. Masuda T, Ishikawa Y, Akasaka Y, et al. The effect of myocardial bridging of the coronary artery on vasoactive agents and atherosclerosis localization. J Pathol 2001; 193: 408-14.

26. Malek AM, Alper SL, Izumo S. Hemodynamic shear stress and its role in atherosclerosis. JAMA 1999; 282: 2035-42.

27. Klues HG, Schwarz ER, vom Dahl J, et al. Disturbed intracoronary hemodynamics in myocardial bridging. Early normalization by intracoronary stent placement. Circulation 1997; 96: 2905-13.

28. Agirbasli M, Martin GS, Stout JB, et al. Myocardial bridge as a cause for thrombus formation and myocardial infarction in a young athlete. Clin Cardiol 1997; 20: 1032-6.

29. Mays AE, McHale PA, Greenfield JC. Transmural myocardial blood flow in a canine model of myocardial bridging. Circ Res 1981; 49: 726-32.

30. Ge J, Jeremias A, Rupp A, et al. New sign characteristic of myocardial bridging demonstrated by intracoronary ultrasound and Doppler. Eur Heart J 1999; 20: 1707-16.

31. Rouleau JR, Roy L, Dumesnil JG. et al. Coronary vasodilator reserve impairment distal to systolic artery compression in dogs. Cardivasc Res 1982; 17: 96-105.

32. Erbel R, Rupprecht HJ, Ge J, et al. Coronary artery shape and flow changes induced by myocardial bridging. Assessment by intravascular ultrasound. Echocardiography 1993; 10: 71-7.

33. Ge J, Erbel R, Rupprecht HJ, et al. Comparison of intravascular ultrasound and angiography in the assessment of myocardial bridging. Circulation 1994; 89: 1725-32.

34. Ge J, Erbel R, Gorge G, et al. High wall shear stress proximal to myocardial bridging and atherosclerosis: intracoronary ultra-sound and pressure measurements. Br Heart J 1995; 73: 462-5.

35. Morales AR, Romanelli R, Tate LG, et al. Intramural LAD: significance of depth of the muscular tunnel. Hum Pathol 1993; 24: 693-701.

36. Eggebrecht H, von Birgelen C, Ge J, et al. Postexstrasystolic potentiation of vessel compression in myocardial bridging: detection by intravascular ultrasound. J Clin Ultrasound 2002; 30: 312-6.

37. Schwarz ER, Klues HG, vom Dahl J, et al. Functional characteristics of myocardial bridging – a combined angiographic and intracoronary Doppler flow study. Eur Heart J 1997; 18: 434-42.

38. Flynn MS, Kern MJ, Aguirre FV, et al. Intramyocardial muscle bridging of the coronary artery – an examination of a diastolic “spike and dome” pattern of coronary flow velocity. Cathet Cardiovasc Diagn 1994; 32: 36-9.

39. Hongo Y, Tada H, Ito K, et al. Augmentation of vessel squeezing and coronary myocardial bridge by nitroglycerin: study by quantitative coronary angiography and intravascular ultrasound. Am Heart J 1999; 138: 345-50.

40. Vives AMA, Dolz MLA, Bonet AL, et al. Myocardial bridging as a cause of acute ischemia: description of a case and review of the literature. Rev Esp Cardiol 1999; 52: 441-4.

41. Tauth J, Sullebarger JT. Myocardial infarction associated with myocardial bridging: case history and review of the literature. Cath Cardivasc Diagn 1997; 40: 364-7.

42. Yano K, Yoshino H, Taniuchi M, et al. Myocardial bridging of the LAD in the acute inferior wall myocardial infarction. Clin Cardiol 2001; 24: 202-8.

43. Voss H, Kupper W, Hanrath P, et al. Klinik, Laktatmetabolismus, Koronarvenenfluss und biphasisches 201-Thallium-Myokardscintigramm bei Myokardbrucken des Ramus Descendens Anterior: Verlaufsvariante oder Obstruktion? Z Kardiol 1980; 69: 347-52.

44. Mouratidis B, Lomas FE, McGill D. Thallium-201 myocardial SPECT in myocardial bridging. J Nucl Med 1995; 36: 1031-3.

45. Kramer JR, Kitazume H, Proudfit WL, et al. Clinical significance of isolated coronary bridges: benign and frequent condition involving the left anterior descending artery. Am Heart J 1982; 103: 283-8.

46. Juilliere Y, Berder V, Suty-Selton C, et al. Isolated myocardial bridges with angiographic milking of left anterior descending coronary artery: a long-term follow-up study. Am Heart J 1995; 129: 663-5.

47. Harikrishnan S, Sunder KR, Tharakan J, et al. Clinical and angiographic profile and follow-up of myocardial bridges: study of 21 cases. Indian Heart J 1999; 51: 503-7.

48. Lozano I, Baz JA, Lopez Palop R, et al. Long-term prognosis of patients with myocardial bridge and angiographic milking of the left anterior descending coronary artery. Rev Esp Cardiol 2002; 55: 359-64.

49. Iversen S, Hake U, Meyer E, et al. Surgical treatment of myocardial bridging causing coronary artery obstruction. Scand J Thor Cardivasc Surg 1992; 26: 107-11.

50. Stables RH, Knight CJ, McNiell JG, et al. Coronary stenting in the management of myocardial ischemia caused by muscle bridging. Br Heart J 1995; 74: 90-2.

51. Haager PK, Schwarz ER, vom Dahl J, et al. Long-term angiographic and clinical follow up in patients with stent implantation for symptomatic myocardial bridging. Heart 2000; 84: 403-8.

52. Schwarz ER, Klues HG, vom Dahl J, et al. Functional, angiographic and intracoronary Doppler flow characteristics in symptomatic patients with myocardial bridging: effect of short-term intravenous beta-blocker medication. JACC 1996; 27: 1637-45.

53. Kracoff OH, Ovsyshcher I, Gueron M. Malign course of a benign anomaly: myocardial bridging. Chest 1987; 92: 1113-5.

54. Ishimori T, Raizer AE, Chahine RA, et al. Myocardial bridges in man: clinical correlation and angiographic accentuation with nitroglycerin. Cath Cardiovasc Diagn 1977; 3: 59-65.

55. Katznelson Y, Petchenko P, Knobel B, et al. Myocardial bridging: surgical technique and operative results. Mil Med 1996; 161: 248-50.

56. Hillman ND, Mavroudis C, Backer CL, et al. Supraarterial decompression myotomy for myocardial bridging in a child. Ann Thorac Surg 1999; 68: 244-6.

57. Pratt JW, Michler RE, Pala J, et al. Minimally-invasive coronary artery bypass grafting for myocardial muscle bridging. Heart Surgery Forum 1999; 2: 250-3.

58. Zwaan CD, Wellens HJJ. Left ventricular aneurysm subsequent to cleavage of myocardial bridging of coronary artery. JACC 1984; 3: 1345-8.

59. Mohlenkamp S, Hort W, Ge J, et al. Update on myocardial bridging. Circulation 2002; 106: 2616-22.

60. Hering D, Horstkotte D, Schwimmbeck P, et al. Acute myocardial infarction caused by a muscle bridge of the anterior interven-tricular ramus: complicated course with vascular perforation after stent implantation. Z Kardiol 1997; 86: 630-8.

61. Berry JF, von Mering GO, Schmalfuss C, et al. Systolic compression of the left anterior descending coronary artery: a case series, review of the literature, and therapeutic options including stenting. Cath Cardivasc Intervent 2002; 56: 58-63.

62. Angelini P, Velasco JA, Flamm S. Coronary anomalies. Incidence, pathophysiology, and clinical relevance. Circulation 2002; 105: 2449-54.


Review

For citations:


Bagmanova Z.A. Myocardial bridges of coronary arteries. Cardiovascular Therapy and Prevention. 2007;6(6):125-130. (In Russ.)

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