Myocardial Bridging as a Trigger in Angina With No Obstructive Coronary Artery Disease

We present 2 patients with angina with no obstructive coronary artery disease and concomitant myocardial bridging. Despite maximal tolerated pharmacotherapy, symptoms remained. Invasive anatomical and hemodynamic assessment identified myocardial bridging as a contributing cause of angina. Following...

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Bibliographic Details
Published in:JACC. Case reports 2024-07, Vol.29 (13), p.102382-102382, Article 102382
Main Authors: Beijk, Marcel A.M., Woudstra, Janneke, Vink, A. Suzanne, Bijsterveld, Nick R., de Lind van Wijngaarden, Robert A.F., Klautz, Robert J.M.
Format: Article
Language:English
Subjects:
angina with no obstructive coronary artery disease
Case Report
myocardial bridging
myotomy
surgical unroofing
vasospastic angina
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Summary:We present 2 patients with angina with no obstructive coronary artery disease and concomitant myocardial bridging. Despite maximal tolerated pharmacotherapy, symptoms remained. Invasive anatomical and hemodynamic assessment identified myocardial bridging as a contributing cause of angina. Following heart team discussion, both patients underwent successful coronary artery unroofing of the left anterior descending artery. [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2024.102382