Review article

Ventricular septal rupture caused by myocardial bridge, solved by interventional closure device

András Zóka ; Semmelweis University Heart Center, Budapest, Hungary
Péter Andréka ; Gottsegen György Center of Cardiology, Budapest, Hungary
Dávid Becker ; Semmelweis University Heart Center, Budapest, Hungary
Géza Fontos ; Gottsegen György Center of Cardiology, Budapest, Hungary
Béla Merkely ; Semmelweis University Heart Center, Budapest, Hungary
György Szabó ; Semmelweis University Heart Center, Budapest, Hungary
András Szatmári ; Gottsegen György Center of Cardiology, Budapest, Hungary
György Bárczi ; Semmelweis University Heart Center, Budapest, Hungary

Abstract

Myocardial bridging is a common coronary anomaly, which
is generally described as a benign phenomenon. However,
a growing number of studies consider this anomaly a relevant
pathophysiological phenomenon with serious pathological
consequences. Here we report on the case of an
88-year-old woman suffering from myocardial infarction
and ventricular septal rupture, lacking any recognizable
coronary disease except for a myocardial bridge causing
the systolic compression of the left anterior descending
coronary artery. A wide range of diagnostic procedures, including
coronarography, echocardiography, and magnetic
resonance imaging were used. The septal rupture was finally
closed by using a percutaneous closure device. This
event indicates that myocardial bridges – at least in some
cases – may have notable clinical relevance.

Keywords

Hrčak ID:

95895

URI

https://hrcak.srce.hr/95895

Publication date:

15.12.2012.

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