Myocardial bridging is a congenital coronary pathology described as a segment of coronary artery which courses through the myocardial wall under the muscle bridge. Although the prognosis of myocardial bridging is benign, sports medicine recognises myocardial bridging as a leading cause of sudden death among young basketball, football and soccer players. The authors report a case of a 42-year-old man who collapsed while playing football. He died notwithstanding prompt medical assistance and cardiopulmonary resuscitation. At autopsy, gross examination of the heart revealed the intramural course of the left anterior descending coronary artery to be 2 cm from its coronary ostial origin. Histological examination of ventricular septal and left myocardium showed early signs of ischaemic injury without disease of small coronary vessels and hypertrophic cardiomyopathy. The cause of the death was due to malignant ventricular arrhythmia during intense physical activity.

Stefania Zerbo, A.L. (2020). Myocardial bridge pathology andpreventable accidents during physical activity of healthy subjects: A case report and a literature review. THE MEDICO-LEGAL JOURNAL, 2(1), 1-7 [10.1177/0025817220923638].

Myocardial bridge pathology andpreventable accidents during physical activity of healthy subjects: A case report and a literature review

Stefania Zerbo;Antonietta Lanzarone;Francesco Cappello;Antonina Argo
2020-01-01

Abstract

Myocardial bridging is a congenital coronary pathology described as a segment of coronary artery which courses through the myocardial wall under the muscle bridge. Although the prognosis of myocardial bridging is benign, sports medicine recognises myocardial bridging as a leading cause of sudden death among young basketball, football and soccer players. The authors report a case of a 42-year-old man who collapsed while playing football. He died notwithstanding prompt medical assistance and cardiopulmonary resuscitation. At autopsy, gross examination of the heart revealed the intramural course of the left anterior descending coronary artery to be 2 cm from its coronary ostial origin. Histological examination of ventricular septal and left myocardium showed early signs of ischaemic injury without disease of small coronary vessels and hypertrophic cardiomyopathy. The cause of the death was due to malignant ventricular arrhythmia during intense physical activity.
2020
Settore MED/43 - Medicina Legale
Stefania Zerbo, A.L. (2020). Myocardial bridge pathology andpreventable accidents during physical activity of healthy subjects: A case report and a literature review. THE MEDICO-LEGAL JOURNAL, 2(1), 1-7 [10.1177/0025817220923638].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/510668
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