Öz
Sol ön inen koroner arter dışındaki arterler üzerine yerleşen anjiyografik olarak tanımlanan myokardiyal köprüleşme olguları çok nadir olarak bildirilmiştir. Ancak çokkesitli bilgisayarlı tomografi ve postmortem otopsi çalışmalarında anjiyografik olarak tanımlanandan çok daha sık olarak ve sol anterior inen arter harici diğer arterler üzerinde de myokardiyal köprüleşme olduğu bildirilmiştir. Bu yazıda koroner anjiyografide sağ koroner arterde boğulmaya yol açan çok nadir bir olguyu bildirdik. Ve bu olgu ışığında değişik görüntüleme yöntemleri ile değişik sıklıklarda myokardiyal köprüleşme izlenmesinin olası sebeplerini tartıştık
Anahtar Kelimeler
Myokardiyal köprüleşme koroner arter hastalığı koroner anjiyografi
Kaynakça
- Irvin RG. The angiographic prevalence of myocardial bridging in man. Chest 1982; 81: 198-202.
- Kim PJ, Hur G, Kim SY, Namgung J, Hong SW, Kim YH, Lee WR. Frequency of myocardial bridges and dynamic compression of epicardial coronary arteries: a comparison between computed tomography and invasive coronary angiography. Circulation 2009; 119: 1408-16.
- Bezerra AJ, Prates JC, DiDio LJ. Incidence and clinical significance of bridges of myocardium over the coronary arteries and their branches. Surg Radiol Anat 1987; 9: 273-80.
- Celik T, Iyisoy A, Kursaklioglu H. Myocardial bridging confined to the right ventricular branch of the right coronary artery in a patient with severe pulmonary hypertension. J Invasive Cardiol 2006; 18: E223-4.
- Gurewitch J, Gotsman MS, Rozenman Y. Right ventricular myocardial bridge in a patient with pulmonary hypertension--a case report. Angiology 1999; 50: 345- 7.
- Kilic H, Akdemir R, Bicer A, Dogan M. Transient myocardial bridging of the left anterior descending coronary artery in acute inferior myocardial infarction. Int J Cardiol 2009; 131: e112-4.
- C. Myocardial Bridge Appearing as a Cause of Angina Pectoris after Successfully Primary Percutaneous Intervention Performed in the Setting of Anterior Myocardial Infarction. Hipokrat Kardiyoloji Dergisi 2005; 9: 330-2.
Öz
Angiographically evident myocardial bridges confined to the other arteries rather than the left anterior descending artery is very rare in the literature. Also cardiac computerized tomography studies and postmortem studies demonstrated that myocardial bridges are not as rare as the angiographic series and may be confined to the other arteries rather than the left anterior descending. We reported a very rare case with myocardial bridge on right coronary artery diagnosed by coronary angiography causing severe obstruction. We want to share this angiographically visible myocardial bridge confined to the right coronary artery and discuss the potential reasons for the frequency dilemma among different diagnostic tools.
Anahtar Kelimeler
Myocardial bridging coronary artery disease coronary angiography
Kaynakça
- Irvin RG. The angiographic prevalence of myocardial bridging in man. Chest 1982; 81: 198-202.
- Kim PJ, Hur G, Kim SY, Namgung J, Hong SW, Kim YH, Lee WR. Frequency of myocardial bridges and dynamic compression of epicardial coronary arteries: a comparison between computed tomography and invasive coronary angiography. Circulation 2009; 119: 1408-16.
- Bezerra AJ, Prates JC, DiDio LJ. Incidence and clinical significance of bridges of myocardium over the coronary arteries and their branches. Surg Radiol Anat 1987; 9: 273-80.
- Celik T, Iyisoy A, Kursaklioglu H. Myocardial bridging confined to the right ventricular branch of the right coronary artery in a patient with severe pulmonary hypertension. J Invasive Cardiol 2006; 18: E223-4.
- Gurewitch J, Gotsman MS, Rozenman Y. Right ventricular myocardial bridge in a patient with pulmonary hypertension--a case report. Angiology 1999; 50: 345- 7.
- Kilic H, Akdemir R, Bicer A, Dogan M. Transient myocardial bridging of the left anterior descending coronary artery in acute inferior myocardial infarction. Int J Cardiol 2009; 131: e112-4.
- C. Myocardial Bridge Appearing as a Cause of Angina Pectoris after Successfully Primary Percutaneous Intervention Performed in the Setting of Anterior Myocardial Infarction. Hipokrat Kardiyoloji Dergisi 2005; 9: 330-2.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Mart 2012 |
| Yayımlandığı Sayı | Yıl 2012Cilt: 34 Sayı: 1 |