Myocardial bridging: noninvasive diagnosis with multidetector CT

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. Intravascu...

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Bibliographic Details
Published inJournal of computer assisted tomography Vol. 29; no. 2; p. 238
Main Authors Goitein, Orly, Lacomis, Joan M
Format Journal Article
LanguageEnglish
Published United States 01.03.2005
Subjects
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
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Summary: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.
ISSN:0363-8715
1532-3145
DOI:10.1097/01.rct.0000155061.73107.ca