Hekim KARAPINAR, Hasan Ali GÜMRÜKCÜOĞLU, Ahmet YILMAZ, İbrahim GÜL, Zekeriya KÜÇÜKDURMAZ

A case of myocardial bridging over the right coronary artery diagnosed by coronary angiography

Sol ön inen koroner arter dışındaki arterler üzerine yerleşen anjiyografik olarak tanımlananmyokardiyal köprüleşme olguları çok nadir olarak bildirilmiştir. Ancak çokkesitli bilgisayarlıtomografi ve postmortem otopsi çalışmalarında anjiyografik olarak tanımlanandan çok daha sıkolarak ve sol anterior inen arter harici diğer arterler üzerinde de myokardiyal köprüleşme olduğubildirilmiştir. Bu yazıda koroner anjiyografide sağ koroner arterde boğulmaya yol açan çok nadirbir olguyu bildirdik. Ve bu olgu ışığında değişik görüntüleme yöntemleri ile değişik sıklıklardamyokardiyal köprüleşme izlenmesinin olası sebeplerini tartıştık.

Koroner anj iyograf i ile tanımlanan sağ koroner arter üzerinde myokardiyal köp rüleşme olgusu

Angiographically evident myocardial bridges confined to the other arteries rather than the leftanterior descending artery is very rare in the literature. Also cardiac computerized tomographystudies and postmortem studies demonstrated that myocardial bridges are not as rare as theangiographic series and may be confined to the other arteries rather than the left anteriordescending. We reported a very rare case with myocardial bridge on right coronary arterydiagnosed by coronary angiography causing severe obstruction. We want to share thisangiographically visible myocardial bridge confined to the right coronary artery and discuss thepotential reasons for the frequency dilemma among different diagnostic tools.

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