Work

Bridging the unseen: A tale of multivessel myocardial bridges in rheumatic mitral stenosis

Year: 2025

Type: article

Abstract: ABSTRACT Myocardial bridging is a congenital anomaly of the coronary arteries in which a segment of the artery runs within the heart muscle and is compressed during the contraction phase of the heart. This case report discusses a middle-aged woman with a history of severe rheumatic mitral stenosis who underwent open commissurotomy. The patient presented with dyspnea and palpitations. General examination revealed sinus tachycardia, a loud first heart sound, and a mid-diastolic murmur. Echocardiography revealed a normal left ventricular ejection fraction and severe rheumatic mitral stenosis. Coronary angiography revealed normal coronary arteries with myocardial bridges (MBs) in the mid-left anterior descending artery, distal left circumflex artery, and distal right coronary artery. These observations were confirmed by cardiac computed tomography. This case report contributes to the limited literature on multivessel MBs and highlights the importance of thorough diagnostic assessments to optimize individualized treatment plans for patients.

Source: Heart India

DOI: 10.4103/heartindia.heartindia_74_25

Authors: Rohit Bhandari, Sridevi Chigullapalli, Susheel Kumar Malani, Ajitkumar Jadhav

Institution: Dr. D. Y. Patil Medical College, Hospital and Research Centre

Language: English

Topic: Coronary Artery Anomalies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600