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Case Reports
. 2016 Sep 30;2016(3):e201630.
doi: 10.21542/gcsp.2016.30.

Multivessel myocardial bridging in a patient with spiral hypertrophic cardiomyopathy

Timothy Fritz  1 , Wissam Abdallah  1 , Richard McNamara  1
Affiliations
Case Reports

Multivessel myocardial bridging in a patient with spiral hypertrophic cardiomyopathy

Timothy Fritz et al. Glob Cardiol Sci Pract. .

Abstract

Myocardial bridging is commonly observed in hypertrophic cardiomyopathy, usually confined to the left anterior descending (LAD), and correlates to the hypertrophic septum. We present a patient with unique spiral hypertrophic cardiomyopathy (HCM) and compression of all three coronary arteries corresponding to this hypertrophy pattern.

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Figures

Figure 1.
Figure 1.. RCA in diastole (A) and systole (B).
Myocardial bridging in the distal RCA as noted in systole (B).
Figure 2.
Figure 2.. LAD artery in diastole (A) and systole (B).
Myocardial bridging in the mid LAD artery and diagonal artery as noted in systole (B).
Figure 3.
Figure 3.. Left circumflex artery in diastole (A) and systole (B).
Myocardial bridging in the obtuse marginal branches as noted in systole (B).
Figure 4.
Figure 4.. Steady-state free precession images of the left ventricle from base to apex in the short axis orientation showing a spiral hypertrophy pattern extending from the basal anterior wall, basal to mid septal, and mid to distal inferoseptal/inferior wall.
See this image and copyright information in PMC

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References

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