Multiple myocardial bridge in a 59 year-old woman

AUTHORS

Ahmadnoor Abdi 1 , * , Shafei Rahimi 1

AUTHORS INFORMATION

1 Preventive Cardiac Risk Factor Research Center, Hormozgan University Of Medical Sciences, Bandar Abbas, Iran.

ARTICLE INFORMATION

Hormozgan Medical Journal: 13 (2); e88650
Published Online: January 25, 2009
Article Type: Case Report
Received: June 26, 2008
Accepted: January 25, 2009

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Abstract

Introduction: Myocardial bridging is a congenital condition in which a segment of a
major epicardial coronary artery has an intra myocardial route. Myocardial bridging
is usually confined to a single vessel and is typically the mid segment of the left
anterior descending artery. Bridging may be associated with chest pain, myocardial
infarction, and sudden cardiac death, or usually asymptomatic.
Case Report: A 59 year-old women with diabetes mellitus and hypertension
presented with dyspnea and chest pain on exercise. Physical exam,
electrocardiography and echocardiography were intact. In angiography, we found
severe stenosis of left main coronary artery and severe stenosis of three coronary
artery (Three Vessel Disease) as well as multiple myocardial bridges at the end of
right coronary artery.
Conclusion: Myocardial bridging is a rave condition, however, it be considered
in patients facing recurrent chest pain, it has severe complication such as sudden
cardiac death.

Keywords

Myocardial Bridging – Coronary Vessels – Chest Pain - Angiography

© 2009, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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