A case of myocardial bridging as a rare cause of chest pain in children

Clinical Research in Cardiology : Official Journal of the German Cardiac Society
Martin PoryoHashim Abdul-Khaliq

Abstract

Asymptomatic myocardial bridging is a frequently seen pathology in adult patients, often in association with hypertrophic cardiomyopathy. Left anterior descending coronary artery is mostly affected. We report on a 14-year-old boy with repeated angina-like pain, disturbances of repolarization in the ECG and elevated values for Troponin T. After exclusion of a myocarditis in the MRI, myocardial bridging was detectable in coronary angiography and confirmed by myocardial perfusion imaging with 430 MBq (99m)Tc-Tetrofosmin at rest and under physical stress. After surgical myotomy, improvement of the cardiac symptoms could be noted and myocardial perfusion imaging studies at rest and under stress demonstrated reversal of the myocardial ischemia. Myocardial bridging is a rare and important differential diagnosis for angina-like pain in childhood without hypertrophic cardiomyopathy.

References

Nov 13, 2002·Circulation·Stefan MöhlenkampRaimund Erbel
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Oct 31, 2013·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Hirokuni YamazawaTakuo Furukawa

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Citations

Jul 9, 2016·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Ulf K RadunskiKai Muellerleile
Sep 1, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Stephane FournierOlivier Muller
Jun 12, 2021·Paediatrics and International Child Health·Federica BrancatoGabriella De Rosa

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