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Detection of Myocardial Bridging with ECG-Gated MDCT and Multiplanar Reconstruction

Mecit Kantarci1, Cihan Duran2, Irmak Durur1, Fatih Alper1, Omer Onbas1, Murat Gulbaran3 and Adnan Okur1

1 Department of Radiology, Medical Faculty, Atatürk University, 200 Evler Mah. 14. Sok No: 5, Dadaskent, Erzurum 25090, Turkey.
2 Department of Radiology, Florence Nightingale Hospital, Istanbul, Turkey.
3 Department of Cardiology, Florence Nightingale Hospital, Istanbul, Turkey.


Figure 1
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  		Fig. 1A —16-MDCT contrast-enhanced coronary angiography images of 37-year-old man with myocardial bridging. Axial image shows suspicious intramyocardial course of middle left anterior descending coronary artery (LAD) (white arrows). Locations of aorta (A) and right coronary artery (RCA) are indicated.

 

Figure 2
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  		Fig. 1B —16-MDCT contrast-enhanced coronary angiography images of 37-year-old man with myocardial bridging. Sagittal multiplanar reconstruction image shows intramyocardial course and shifting into myocardium of middle LAD (arrows). Length and depth of tunneled segment can be clearly measured using this image. Location of left ventricle (LV) is indicated.

 

Figure 3
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  		Fig. 1C —16-MDCT contrast-enhanced coronary angiography images of 37-year-old man with myocardial bridging. Volume-rendering 3D image shows myocardial bridging at middle third of LAD (arrowheads). At this tunneled segment, caliber of LAD appears thinner. Locations of aorta (A), left main coronary artery (LMCA), circumflex artery (Cx), LAD, and diagonal branch of LAD (D) are indicated.

 

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