Suwita Benedicta Mutiara, Suroyo Indrati
Radiology Department, Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.
Radiol Case Rep. 2022 May 12;17(7):2525-2528. doi: 10.1016/j.radcr.2022.04.018. eCollection 2022 Jul.
Myocardial bridging occurs when a segment of major epicardial coronary artery courses intramurally through myocardium, commonly involving the left anterior descending. However, myocardial bridging involving coronary arteries other than left anterior descending is less-common and rarely reported, especially in the elderly population. We report a rare case of multiple myocardial bridging involving the left anterior descending, first obtuse marginal, and ramus intermedius in a 68-year-old Asian female. We also briefly discuss the imaging evaluation and pathophysiology of myocardial ischemia in myocardial bridging. This is the second reported case of myocardial bridging involving such combination, and to our knowledge, the first for elderly patient.
当一段主要的心外膜冠状动脉在心肌内走行时，就会发生心肌桥，常见于左前降支。然而，累及除左前降支以外冠状动脉的心肌桥较少见，且鲜有报道，尤其是在老年人群中。我们报告了一例罕见的68岁亚洲女性病例，其左前降支、第一钝缘支和中间支均存在多处心肌桥。我们还简要讨论了心肌桥中心肌缺血的影像学评估和病理生理学。这是第二例报道的涉及此类组合的心肌桥病例，据我们所知，也是首例老年患者病例。
