title: Ventricular septal rupture caused by myocardial bridge, solved by interventional closure device.
abstract: Myocardial bridging is a common coronary anomaly, which is generally described as a benign phenomenon. However, a growing number of studies consider this anomaly a relevant pathophysiological phenomenon with serious pathological consequences. Here we report on the case of an 88-year-old woman suffering from myocardial infarction and ventricular septal rupture, lacking any recognizable coronary disease except for a myocardial bridge causing the systolic compression of the left anterior descending coronary artery. A wide range of diagnostic procedures, including coronarography, echocardiography, and magnetic resonance imaging were used. The septal rupture was finally closed by using a percutaneous closure device. This event indicates that myocardial bridges - at least in some cases - may have notable clinical relevance.
authors.affiliation: Semmelweis University Heart Center, Budapest, Hungary. zoka.andras@yahoo.com
authors.forename: András
authors.initials: A
authors.lastname: Zóka
authors.forename: Péter
authors.initials: P
authors.lastname: Andréka
authors.forename: Dávid
authors.initials: D
authors.lastname: Becker
authors.forename: Géza
authors.initials: G
authors.lastname: Fontos
authors.forename: Béla
authors.initials: B
authors.lastname: Merkely
authors.forename: György
authors.initials: G
authors.lastname: Szabó
authors.forename: András
authors.initials: A
authors.lastname: Szatmári
authors.forename: György
authors.initials: G
authors.lastname: Bárczi
mesh_terms: D000369:Aged, 80 and over; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D054084:Myocardial Bridging / Q000150:complications*; D009206:Myocardium; D011859:Radiography; D055989:Septal Occluder Device; D018658:Ventricular Septal Rupture / Q000209:etiology* / Q000628:therapy*