Myocardial bridging: noninvasive diagnosis with multidetector CT

J Comput Assist Tomogr. 2005 Mar-Apr;29(2):238-40. doi: 10.1097/01.rct.0000155061.73107.ca.

Abstract

An epicardial segment of a coronary artery that courses through the myocardium is termed "myocardial bridging". Generally, this is a benign condition but it may lead to angina, ischemia or infarction. The current diagnostic standard of reference is coronary catheter angiography. Intravascular ultrasound (IVUS) and intracoronary Doppler (ICD) have been recently introduced as well. These are all invasive imaging modalities. We describe the utilization of gated multidetector CT (MDCT) as a non-invasive alternative for diagnosis of this anomaly. Information regarding the tunneled coronary artery including its length, depth, precise location and surrounding myocardium is easily obtainable.

Publication types

  • Case Reports

MeSH terms

  • Contrast Media / administration & dosage
  • Coronary Angiography*
  • Coronary Vessel Anomalies / diagnostic imaging*
  • Female
  • Heart Defects, Congenital / diagnostic imaging*
  • Humans
  • Image Processing, Computer-Assisted*
  • Imaging, Three-Dimensional*
  • Middle Aged
  • Myocardium*
  • Sensitivity and Specificity
  • Tomography, Spiral Computed*
  • Triiodobenzoic Acids

Substances

  • Contrast Media
  • Triiodobenzoic Acids
  • ioversol