E-ISSN 2146-8133
 

Original Research (Original Article) 


Does Myocardial Bridging Affect Coronary Hemodynamics?

Onur Sildiroglu, Ferhat Cuce, Zafer Isilak, Muzaffer Saglam, Mehmet Incedayi, Kemal Kara, Ersin Ozturk.

Abstract
Objective. The aim of our study was to evaluate the relationship between a myocardial bridge (MB) and its effects over the coronary artery hemodynamics by using multislice computed tomography (MSCT).
Material and Methods. A total of 412 patients examined with coronary computed tomography (CT) angiography were reviewed retrospectively for an MB of the left anterior descending (LAD) coronary artery. We evaluated the correlation between the depth of an MB and the degree of compression to the MB during end-diastolic and end-systolic phases.
Results. 93 (22.6%) MBs were detected in 412 patients, and 81 of the 93 subjects (87.09%) were found in LAD. In 53 (65.43%) of the 81 subjects, the MBs were localized superficially, and 28 (34.57%) of the 81 subjects were deeply in myocardium. A significant difference was found in the luminal narrowing during the end-diastolic phase between the superficial and deep type of MB (p = 0.045), but the narrowing in the end-systolic phase was not correlated with the myocardial thickness over the bridge.
Conclusion. We detected a correlation between the luminal narrowing ratio and the myocardial thickness over the tunneled artery in the end-diastolic phase.

Key words: Myocardial bridge, coronary artery, CT


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Onur Sildiroglu
Articles by Ferhat Cuce
Articles by Zafer Isilak
Articles by Muzaffer Saglam
Articles by Mehmet Incedayi
Articles by Kemal Kara
Articles by Ersin Ozturk
on Google
on Google Scholar
Article Statistics
 Viewed: 3315
Downloaded: 619
Cited: 0


REFERENCES
1. Li ZF, Yang SG, Ge JB. Acute myocardial infarction due to myocardial bridge. Chin Med J (Engl) 2012;125:3589-3590.
2. Tekin G, Erbay AR, Turhan H. A rare localization of muscular bridge causing myocardial ischemia. Anadolu Kardiyol Derg 2012;12:E29. [Pubmed]   
3. Geiringer E. The mural coronary. Am Heart J 1951;41:359-368. [DOI via Crossref]   
4. Cay S, Oztürk S, Cihan G, Kisacik HL, Korkmaz S. Angiographic prevalence of myocardial bridging. Anadolu Kardiyol Derg 2006;6:9-12. [Pubmed]   
5. Kantarci M, Duran C, Durur I, Alper F, Onbas O, Gulbaran M, et al. Detection of myocardial bridging with ECG-gated MDCT and multiplanar reconstruction. AJR Am J Roentgenol 2006;186(6 Suppl 2):S391-394. [DOI via Crossref]    [Pubmed]   
6. Tauth J, Sullebarger T. Myocardial infarction associated with myocardial bridging: case history and review of the literature. Cathet Cardiovasc Diagn 1997;40:364-367. [DOI via Crossref]   
7. Feld H, Guadanino V, Hollander G, Greengart A, Lichstein E, Shani J. Exercise-induced ventricular tachycardia in association with a myocardial bridge. Chest 1991;99:1295-1296. [DOI via Crossref]    [Pubmed]   
8. den Dulk K, Brugada P, Braat S, Heddle B, Wellens HJ. Myocardial bridging as a cause of paroxysmal atrioventricular block. J Am Coll Cardiol 1983;1:965-969. [DOI via Crossref]   
9. Cheng TO. Myocardial bridging in a young patient with sudden death. Clin Cardiol 1997;20:743. [DOI via Crossref]    [Pubmed]   
10. Ferreira AG Jr, Trotter SE, König B Jr, Décourt LV, Fox K, Olsen EG. Myocardial bridges: morphological and functional aspects. Br Heart J 1991;66:364-367. [DOI via Crossref]   
11. Hostiuc S, Curca GC, Dermengiu D, Dermengiu S, Hostiuc M, Rusu MC. Morphological changes associated with hemodynamically significant myocardial bridges in sudden cardiac death. Thorac Cardiovasc Surg 2011;59:393-398. [DOI via Crossref]    [Pubmed]   
12. Achrafi H. Hypertrophic cardiomyopathy and myocardial bridging. Int J Cardiol 1992;37:111-112. [DOI via Crossref]   
13. Ishikawa Y, Akasaka Y, Ito K, Akishima Y, Kimura M, Kiguchi H, et al. Significance of anatomical properties of myocardial bridge on atherosclerosis evolution in the left anterior descending coronary artery. Atherosclerosis 2006;186:380-389. [DOI via Crossref]    [Pubmed]   
14. Ge J, Erbel R, Rupprecht HJ, Koch L, Kearney P, Görge G, et al. Comparison of intravascular ultrasound and angiography in the assessment of myocardial bridging. Circulation 1994;89:1725-1732. [DOI via Crossref]    [Pubmed]   
15. Schwarz ER, Klues HG, vom Dahl J, Klein I, Krebs W, Hanrath P. Functional characteristics of myocardial bridging. A combined angiographic and intracoronary Doppler flow study. Eur Heart J 1997;18:434-442. [DOI via Crossref]    [Pubmed]   
16. Sansone F, Campanella A, Rinaldi M. Extracorporeal membrane oxygenation as a "bridge to recovery" in a case of myotomy for myocardial bridge complicated by biventricular dysfunction. J Artif Organs 2010;13:97-100. [DOI via Crossref]    [Pubmed]   

How to Cite this Article
Pubmed Style

Onur Sildiroglu, Ferhat Cuce, Zafer Isilak, Muzaffer Saglam, Mehmet Incedayi, Kemal Kara, Ersin Ozturk. Does Myocardial Bridging Affect Coronary Hemodynamics?. Arch Clin Exp Surg. 2013; 2(4): 219-223. doi:10.5455/aces.20130207120902


Web Style

Onur Sildiroglu, Ferhat Cuce, Zafer Isilak, Muzaffer Saglam, Mehmet Incedayi, Kemal Kara, Ersin Ozturk. Does Myocardial Bridging Affect Coronary Hemodynamics?. http://www.ejmaces.com/?mno=30446 [Access: August 18, 2019]. doi:10.5455/aces.20130207120902


AMA (American Medical Association) Style

Onur Sildiroglu, Ferhat Cuce, Zafer Isilak, Muzaffer Saglam, Mehmet Incedayi, Kemal Kara, Ersin Ozturk. Does Myocardial Bridging Affect Coronary Hemodynamics?. Arch Clin Exp Surg. 2013; 2(4): 219-223. doi:10.5455/aces.20130207120902



Vancouver/ICMJE Style

Onur Sildiroglu, Ferhat Cuce, Zafer Isilak, Muzaffer Saglam, Mehmet Incedayi, Kemal Kara, Ersin Ozturk. Does Myocardial Bridging Affect Coronary Hemodynamics?. Arch Clin Exp Surg. (2013), [cited August 18, 2019]; 2(4): 219-223. doi:10.5455/aces.20130207120902



Harvard Style

Onur Sildiroglu, Ferhat Cuce, Zafer Isilak, Muzaffer Saglam, Mehmet Incedayi, Kemal Kara, Ersin Ozturk (2013) Does Myocardial Bridging Affect Coronary Hemodynamics?. Arch Clin Exp Surg, 2 (4), 219-223. doi:10.5455/aces.20130207120902



Turabian Style

Onur Sildiroglu, Ferhat Cuce, Zafer Isilak, Muzaffer Saglam, Mehmet Incedayi, Kemal Kara, Ersin Ozturk. 2013. Does Myocardial Bridging Affect Coronary Hemodynamics?. Archives of Clinical and Experimental Surgery (ACES), 2 (4), 219-223. doi:10.5455/aces.20130207120902



Chicago Style

Onur Sildiroglu, Ferhat Cuce, Zafer Isilak, Muzaffer Saglam, Mehmet Incedayi, Kemal Kara, Ersin Ozturk. "Does Myocardial Bridging Affect Coronary Hemodynamics?." Archives of Clinical and Experimental Surgery (ACES) 2 (2013), 219-223. doi:10.5455/aces.20130207120902



MLA (The Modern Language Association) Style

Onur Sildiroglu, Ferhat Cuce, Zafer Isilak, Muzaffer Saglam, Mehmet Incedayi, Kemal Kara, Ersin Ozturk. "Does Myocardial Bridging Affect Coronary Hemodynamics?." Archives of Clinical and Experimental Surgery (ACES) 2.4 (2013), 219-223. Print. doi:10.5455/aces.20130207120902



APA (American Psychological Association) Style

Onur Sildiroglu, Ferhat Cuce, Zafer Isilak, Muzaffer Saglam, Mehmet Incedayi, Kemal Kara, Ersin Ozturk (2013) Does Myocardial Bridging Affect Coronary Hemodynamics?. Archives of Clinical and Experimental Surgery (ACES), 2 (4), 219-223. doi:10.5455/aces.20130207120902





Most Viewed Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • Role of Ultrasonography (Honeycomb Sign) in Early Detection of Dengue Hemorrhagic Fever
    Sudhir Sachar, Sunder Goyal, Saurabh Sachar
    Arch Clin Exp Surg. 2013; 2(1): 38-42
    » Abstract & References » doi: 10.5455/aces.20120828025157

  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Barium Enema in the Diagnosis of Hirschsprungs Disease: A Comparison with Rectal Biopsy
    Mohammad Abbas, Arshad Rashid, Asim Rafiq Laharwal, Ajaz Ahmad Wani, Shabir Ahmad Dar, Manzoor Ahamad Chalkoo, Showkat Majeed Kakroo
    Arch Clin Exp Surg. 2013; 2(4): 224-228
    » Abstract & References » doi: 10.5455/aces.20120703031135

  • Long-Term Productive Cough Caused by Tracheal Bronchus
    Chih-Hao Chen, Shih-Yi Lee, Ho Chang, Tzu-Ti Hung
    Arch Clin Exp Surg. 2012; 1(2): 120-121
    » Abstract & References » doi: 10.5455/aces.20120311102403

  • Patient Selection in Plastic Surgery: Recognizing Body Dysmorphic Disorder
    Cihan Sahin, Onat Yilmaz, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Yalcin Kulahci, Alpay Ates
    Arch Clin Exp Surg. 2013; 2(2): 109-115
    » Abstract & References » doi: 10.5455/aces.20120722123102

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721

  • Most Downloaded
  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Patient Selection in Plastic Surgery: Recognizing Body Dysmorphic Disorder
    Cihan Sahin, Onat Yilmaz, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Yalcin Kulahci, Alpay Ates
    Arch Clin Exp Surg. 2013; 2(2): 109-115
    » Abstract & References » doi: 10.5455/aces.20120722123102

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • Pleomorphic Adenoma of Parotid Gland in The Elderly: Do We Always Need to Operate?
    Vikas Malik, Nicholas J Kay, Timothy M Ramsay
    Arch Clin Exp Surg. 2012; 1(1): 41-44
    » Abstract & References » doi: 10.5455/aces.20120212062039

  • A Study of Methods Used to Reduce Surgical Site Infections
    Stuart R. Walker, Tara Anderson
    Arch Clin Exp Surg. 2012; 1(1): 27-33
    » Abstract & References » doi: 10.5455/aces.20120213053645

  • Principles of risk management in surgery departments
    Fatemeh Rezaei, Mohammad H Yarmohammadian, Masoud Ferdosi, Abbas Haghshenas
    Arch Clin Exp Surg. 2015; 4(3): 126-134
    » Abstract & References » doi: 10.5455/aces.20140925015830

  • Slow-Release Drug Deliver System with Polylactic Acid Hydrogels in Prevention of Tracheal Wall Fibroplasia
    Jinrang Li, Lili Peng, Jianjun Sun, Hongguang Guo, Kun Guo, Zuogang Li, Yao Tang, Xu Sun, Shuangqing Zhang
    Arch Clin Exp Surg. 2012; 1(1): 1-7
    » Abstract & References » doi: 10.5455/aces.20120220105531

  • Post-Traumatic Pancreatic Pseudocyst: Report of Two Cases with Review of Literature
    Sunder Goyal, Sudhir Sachar, Ram Kumar Verma, Snigdha Goyal
    Arch Clin Exp Surg. 2013; 2(4): 251-258
    » Abstract & References » doi: 10.5455/aces.20120524103614

  • Most Cited Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447
    Cited : 10 times [Click to see citing articles]

  • Experimental Craniofacial Composite Tissue Allotransplantation (CCTA) Models in Rats
    Yalcin Kulahci, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(3): 181-187
    » Abstract & References » doi: 10.5455/aces.20120514010906
    Cited : 8 times [Click to see citing articles]

  • Thoracodorsal Artery Perforator Flap: Basic Surgical Determinants
    Celalettin Sever, Yalcin Bayram, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(4): 270-271
    » Abstract & References » doi: 10.5455/aces.20120506072849
    Cited : 6 times [Click to see citing articles]

  • Pre-expanded Supraclavicular Flap for Post-burn Neck Contractures
    Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(1): 61-62
    » Abstract & References » doi: 10.5455/aces.20120205090034
    Cited : 4 times [Click to see citing articles]

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721
    Cited : 4 times [Click to see citing articles]

  • Spontaneous Healing and Treatment Alternatives in Burns
    Mehmet Bozkurt, Emin Kapi, Yusuf Acar, Yalcin Bayram
    Arch Clin Exp Surg. 2013; 2(3): 186-196
    » Abstract & References » doi: 10.5455/aces.20130306035449
    Cited : 4 times [Click to see citing articles]

  • The effect of Kristeller maneuver on maternal and neonatal outcome
    Gokhan Acmaz, Evrim Albayrak, Gokalp Oner, Murvet Baser, Gulsum Aykut, Gulender Tas Tekin, Gokmen Zararsiz, Iptisam Ipek Muderris
    Arch Clin Exp Surg. 2015; 4(1): 29-35
    » Abstract & References » doi: 10.5455/aces.20140328024258
    Cited : 4 times [Click to see citing articles]

  • What is the Most Appropriate Animal Model for Experimental Diabetic Neuropathy Studies ?
    Huseyin Karagoz, Mustafa Tansel Kendirli
    Arch Clin Exp Surg. 2012; 1(3): 199-200
    » Abstract & References » doi: 10.5455/aces.20120514012617
    Cited : 3 times [Click to see citing articles]

  • Anesthetic Burns A Burn Injury Due to A Combination of Local Anaesthetic and Heat Pack
    Stuart Robert Walker
    Arch Clin Exp Surg. 2012; 1(2): 127-128
    » Abstract & References » doi: 10.5455/aces.20120206110836
    Cited : 3 times [Click to see citing articles]

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923
    Cited : 3 times [Click to see citing articles]