Death Due to Myocardial Bridging.
نویسندگان
چکیده
Myocardial bridging is a congenital coronary pathology described as a segment of coronary artery which courses through the myocardial wall beneath the muscle bridge. Although the myocardial bridging prognosis is benign, have been also reported sudden death in medical literature. ¬A 30-year-old married woman was found dead at her home. After local prosecutors' investigation the death was declared as suspicious and forensic autopsy was obliged. The left anterior descending coronary artery was detected embedded deeply in the myocardium 2 cm from its coronary ostial origin. There were no other pathology to explain death. We analyzed sudden death case occurred because of myocardial bridging and the pathophysiological mechanisms in the light of medico-legal literature.
منابع مشابه
Multiple myocardial bridge in a 59 year-old woman
Introduction: Myocardial bridging is a congenital condition in which a segment of a major epicardial coronary artery has an intra myocardial route. Myocardial bridging is usually confined to a single vessel and is typically the mid segment of the left anterior descending artery. Bridging may be associated with chest pain, myocardial infarction, and sudden cardiac death, or usually asymptomati...
متن کاملMyocardial Bridging
Myocardial bridging is rare. Myocardial bridges are most commonly localized in the middle segment of the left anterior descending coronary artery. The anatomic features of the bridges vary significantly. Alterations of the endothelial morphology and the vasoactive agents impact on the progression of atherosclerosis of myocardial bridging. Patients may present with chest pain, myocardial infarct...
متن کاملAtherosclerosis and myocardial bridging: Not a benign combination. An autopsy case report
Myocardial bridging is a congenital coronary anomaly with a variety of clinical manifestations. Traditionally, myocardial bridging has been considered a benign condition, but some cases of myocardial ischemia, infarction and sudden cardiac death due to myocardial bridging have been reported. Various studies have suggested that in their intramyocardial segments, these vessels are protected from ...
متن کاملMyocardial bridging in adult patients with hypertrophic cardiomyopathy.
OBJECTIVES This investigation examined the risk of sudden cardiac death and other mortality in adult patients with hypertrophic cardiomyopathy (HCM) who have myocardial bridging diagnosed at coronary angiography. BACKGROUND Several reports have associated myocardial bridging with an adverse prognosis in pediatric HCM patients, but the prognosis of myocardial bridging in adult patients with HC...
متن کاملMyocardial bridging.
The author reports a case of an applicant whose myocardial bridging caused myocardial infarction. It had been thought that most instances of bridging were of little clinical significance. However, there have been reports showing that severe bridging of the left anterior descending coronary can produce myocardial ischemia or sudden death.
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ورودعنوان ژورنال:
- Maedica
دوره 10 2 شماره
صفحات -
تاریخ انتشار 2015