Myocardial bridging: evaluation using single- and dual-source multidetector cardiac computed tomographic angiography

J Comput Assist Tomogr. 2008 Mar-Apr;32(2):242-6. doi: 10.1097/RCT.0b013e318075e6c3.

Abstract

Objective: To evaluate the prevalence and characteristics of myocardial bridging in patients who underwent single- or dual-source multidetector cardiac computed tomographic angiography (MDCTA).

Methods: Retrospective review of the imaging characteristics of 57 myocardial bridges in 53 patients who underwent cardiac MDCTA examinations was performed.

Results: The prevalence of myocardial bridges was 10.4%, most of which were located in the mid-left anterior descending coronary artery. The average myocardial bridge length was 23.4 mm, and the average tunneled artery depth was 2.6 mm.

Conclusions: Myocardial bridges are commonly found in patients who undergo cardiac multidetector computed tomographic angiograms on both single- and dual-source computed tomographic scanners and are most frequently located in the mid-left anterior descending coronary artery. Increasing utilization of cardiac MDCTA for noninvasive evaluation of coronary artery disease permits recognition, characterization, and functional assessment of this entity in a single examination.

MeSH terms

  • Adult
  • Aged
  • Contrast Media / administration & dosage
  • Coronary Angiography / methods*
  • Female
  • Humans
  • Imaging, Three-Dimensional
  • Male
  • Middle Aged
  • Myocardial Bridging / diagnosis*
  • Myocardial Bridging / epidemiology
  • Prevalence
  • Radiographic Image Enhancement / methods
  • Retrospective Studies
  • Severity of Illness Index
  • Tomography, X-Ray Computed / methods*
  • Triiodobenzoic Acids

Substances

  • Contrast Media
  • Triiodobenzoic Acids
  • iodixanol