Abstract |
Myocardial bridge is a rare congenital coronary anomaly in children, usually seen in the setting of hypertrophic cardiomyopathy and in left ventricular hypertrophy. Most myocardial bridges are believed to represent a benign anatomical variant; however, symptomatic myocardial bridge is a distinct subgroup of pathological variant, linked to myocardial ischaemia, ventricular arrhythmia, and sudden cardiac death. We present a case of a symptomatic myocardial bridge in a 5-year-old boy with mild hypertrophic cardiomyopathy who underwent supra-arterial myotomy, automatic defibrillator placement, and long-term Beta-blocker therapy. We also present 10 years of follow-up with a review of literature regarding symptomatic myocardial bridges in the paediatric age group.
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Authors | Jayendra Sharma, William Hellenbrand, Charles Kleinman, Ralph Mosca |
Journal | Cardiology in the young
(Cardiol Young)
Vol. 21
Issue 5
Pg. 490-4
(Oct 2011)
ISSN: 1467-1107 [Electronic] England |
PMID | 21729505
(Publication Type: Case Reports, Journal Article, Review)
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Topics |
- Cardiomyopathy, Hypertrophic
(complications)
- Child, Preschool
- Coronary Vessel Anomalies
(complications, diagnosis, therapy)
- Humans
- Male
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