Yıldız Bekir Serhat, Esin Fatma, Alihanoğlu Yusuf Izzettin, Kılıç Ismail Doğu, Evrengül Harun
Department of Cardiology, Pamukkale University Faculty of Medicine, Denizli, Turkey.
Department of Cardiology, Denizli State Hospital, Denizli, Turkey.
Turk Kardiyol Dern Ars. 2014 Jun;42(4):395-8. doi: 10.5543/tkda.2014.72829.
Myocardial bridging (MB) is defined as the intramural course of a major epicardial coronary artery, and is mostly confined to the left ventricle and the left anterior descending coronary artery (LAD). MB is a common congenital abnormality of a coronary artery, and is usually thought to be a benign anatomical variant. Although rare, previous studies have reported that patients with MB may suffer from myocardial ischemia, myocardial infarction (MI), arrhythmias, and even sudden death. Therefore, the diagnosis and treatment of MB are both important. Since MB is congenital, its disappearance is unlikely. We here report a very rare case of disappearance of MB after inferior MI.
心肌桥（MB）定义为主要的心外膜冠状动脉走行于心肌内，且大多局限于左心室和左前降支冠状动脉（LAD）。心肌桥是一种常见的冠状动脉先天性异常，通常被认为是一种良性解剖变异。尽管罕见，但既往研究报道心肌桥患者可能会出现心肌缺血、心肌梗死（MI）、心律失常，甚至猝死。因此，心肌桥的诊断和治疗都很重要。由于心肌桥是先天性的，其消失的可能性不大。我们在此报告一例非常罕见的下壁心肌梗死后心肌桥消失的病例。
