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European Journal of Echocardiography 2007 8(4):284-288; doi:10.1016/j.euje.2006.02.011
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Copyright © 2006, The European Society of Cardiology

Noninvasive assessment of myocardial bridging in the left coronary artery by transthoracic Doppler echocardiography

Nurcan Arat*, Hakan Altay, Nesligul Yildirim, Erdogan Ilkay and Irfan Sabah

Department of Cardiology, Türkiye Yüksek Ihtisas Hospital, Shihiye 06100, Ankara, Turkey

Received 13 December 2005; received in revised form 27 December 2005; accepted after revision 28 February 2006.

* Corresponding author. Present address: Koza Sokak No: 84/56, Büyük Esat, 06700 Ankara, Turkey. nurcanarat{at}superonline.com


  Abstract

Myocardial bridging is a common congenital coronary abnormality recognized primarily with systolic narrowing or ‘milking effect’ shown by coronary angiography. We report the case of a 58-year-old man with signs and symptoms of myocardial ischemia who underwent transthoracic echocardiography and coronary angiography. The present case suggests the clinical role of transthoracic echocardiography in demonstrating characteristic coronary flow abnormalities in patients with muscular bridge in the region of the mid LAD.

Keywords: Myocardial bridge; Transthoracic Doppler echocardiography


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