title: Symptomatic myocardial bridges in children: a case report with review of literature.
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.
authors: Division of Pediatric Cardiology, Morgan Stanley Children's Hospital, New York-Presbyterian Medical Center, Columbia University, New York, NY 10032, United States of America. jsharma@jhmc.org
authors: Jayendra
authors: J
authors: Sharma
authors: William
authors: W
authors: Hellenbrand
authors: Charles
authors: C
authors: Kleinman
authors: Ralph
authors: R
authors: Mosca
mesh_terms: D002312:Cardiomyopathy, Hypertrophic / Q000150:complications; D002675:Child, Preschool; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male