Key result
A review of the literature on myocardial bridging in adults and children highlights the challenges in clinical evaluation, diagnosis, and treatment of this congenital anomaly in pediatric patients.
Why the study?
Literature on myocardial bridging in children is limited to case reports or small series, leading pediatric cases to be assessed based on adult data despite potential risks of significant cardiac problems and sudden cardiac death.
This review highlights the challenges in evaluating and managing pediatric myocardial bridging, noting that pediatric cases are often assessed based on adult data due to limited pediatric literature.
Caution advised extrapolating adult myocardial bridging data to children; leaves open need for pediatric-specific studies.
Myocardial bridging (MB) is a congenital anomaly where a coronary artery branch or group of branches extends inside a tunnel consisting of myocardium. Although it is mostly considered "benign," it is reported that MB may lead to significant cardiac problems and sudden cardiac deaths. While it is a congenital anomaly, its symptoms usually arise at further ages rather than childhood. The literature on MB in children is in the form of case reports or small case series. This is why pediatric cases are assessed in the light of information obtained from adults. This review compiled the literature on MB in adults and children and compared it, as well as discussing questions arising regarding the clinic, diagnosis, and treatment of MB.
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Nurdan Erol (2021) conducted a review in Myocardial bridging. A review of the literature on myocardial bridging in adults and children highlights the challenges in clinical evaluation, diagnosis, and treatment of this congenital anomaly in pediatric patients.
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