Myocardial CT perfusion imaging for pre- and postoperative evaluation of myocardial ischemia in a patient with myocardial bridging: A case report.
Medicine (Baltimore)
; 96(42): e8277, 2017 Oct.
Article
em En
| MEDLINE
| ID: mdl-29049223
ABSTRACT
RATIONALE Although myocardial bridging (MB) is usually considered as benign, initial medical therapy and following surgical treatment in drug-refractory cases has been widely accepted for managing symptomatic MB. Before the patient proceeds to percutaneous or surgical intervention, however, the presence of objective ischemia in the corresponding myocardial territory should be documented. PATIENT CONCERN AND INTERVENTION We herein report a 43-year-old male complaining of chest pain in whom cardiac CT with myocardial perfusion (cCTP) showed an MB of left anterior descending artery (LAD) with preoperative perfusion defect in corresponding myocardium and normalization of perfusion after supra-arterial myotomy. DIAGNOSIS Myocardial bridging-induced ischemia. LESSONS This case illustrates the potential utility of cCTP for the simultaneous assessment of MB and its hemodynamic significance for treatment planning and post-therapeutic evaluation although further research is needed to establish the clinical usefulness of this technique.
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1
Base de dados:
MEDLINE
Assunto principal:
Isquemia Miocárdica
/
Ponte Miocárdica
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article