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Symptomatic myocardial bridges in children: a case report with review of literature

  • Jayendra Sharma (a1), William Hellenbrand (a1), Charles Kleinman (a1) and Ralph Mosca (a2)

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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Corresponding author

Correspondence to: Dr J. Sharma, MD, FACC, 45, Wiltshire Road, Scarsdale, NY 10583, United States of America. Tel: +1 718 206 7138; Fax: +1 718 206 7144; E-mail: jsharma@jhmc.org

References

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