de Winter R J, Kok W E, Piek J J
Department of Cardiology, University of Amsterdam, Netherlands.
Heart. 1998 Jul;80(1):91-3. doi: 10.1136/hrt.80.1.91.
In patients with myocardial bridging, the area within the bridge usually remains free from atherosclerotic disease. The case of a 47 year old man is described who had the rare combination of myocardial bridging with an atherosclerotic plaque within the area of bridging, which was detected with intravascular ultrasound but not with coronary angiography. The clinical history of the patient demonstrates that this is not a benign condition. In symptomatic patients the bridged segment should be screened for the presence of plaque with intracoronary ultrasound.
在心肌桥患者中，桥内区域通常无动脉粥样硬化病变。本文描述了一名47岁男性患者，其患有罕见的心肌桥合并桥内区域动脉粥样硬化斑块，血管内超声检测到了该斑块，但冠状动脉造影未检测到。该患者的临床病史表明这并非良性情况。对于有症状的患者，应使用冠状动脉内超声筛查桥接节段是否存在斑块。
