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Left Anterior Descending Artery Myocardial Bridging: A Clinical Approach
- Source :
- Journal of the American College of Cardiology, 68(25), 2887-2899. Elsevier Inc.
- Publication Year :
- 2016
-
Abstract
- A myocardial bridge (MB) is the term for the muscle overlying the intramyocardial segment of the epicardial coronary artery (referred to as a tunneled artery). Although MBs can be found in any epicardial artery, most of them involve the left anterior descending artery. These congenital coronary anomalies have long been recognized anatomically, and are traditionally considered a benign condition; however, the association between myocardial ischemia and MBs has increased their clinical relevance. This review summarizes the prevalence, pathophysiology, and diagnostic findings, including morphological, functional assessment, and treatment of patients with MB involving the left anterior descending artery, suggesting a pragmatic clinical approach to this entity.
- Subjects :
- Fractional Flow Reserve, Myocardial
Percutaneous Coronary Intervention
fractional flow reserve
instantaneous wave-free ratio
intravascular imaging
percutaneous coronary intervention
Cardiology and Cardiovascular Medicine
Myocardial Bridging
Humans
Coronary Angiography
Coronary Vessels
Ultrasonography, Interventional
Subjects
Details
- ISSN :
- 15583597 and 07351097
- Volume :
- 68
- Issue :
- 25
- Database :
- OpenAIRE
- Journal :
- Journal of the American College of Cardiology
- Accession number :
- edsair.pmid.dedup....193cf237691b298785cf40599df9c068