Sol İnen Koroner Arterdeki Miyokard Köprülemesinin Neden Olduğu Akut Koroner Sendrom
ÖZET
Epikardiyal seyreden koroner arterin bazı bölgelerde kalp kası içinde girmesi ve üzerinden geçen kas lifleri tarafından basıya uğraması miyokardiyal köprüleme olarak isimlendirilmektedir. Daha önceleri iyi huylu kabul edilmesine rağmen angina, miyokard infaktüsü, aritmi ve ani ölüm gibi ciddi klinik tablolara nadiren yol açabildiği ortaya konmuştur. Tıbbi ve cerrahi olarak tedavi edilmektedir. Sol ön inen koroner arterdeki miyokardiyal köprülemenin neden olduğu akut koroner sendromlu hastayı sunduk.
Anahtar kelimeler: Koroner damarlar, Miyokard köprülemesi, Akut koroner sendrom
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Epicardial coronary artery may enter into the heart muscle in some areas and be compressed by muscle fibers. This is termed as myocardial bridging. Although previously considered to be benign, rarely it may cause serious clinical pictures such as angina, myocardial infarction, arrhythmias and sudden cardiac death. Treatment is medical and surgical. We presented a patient with acute coronary syndrome due to myocardial bridging of left anterior descending coronary artery
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