Challenging case of Muscle Bridge; a 15-year follow-up of a patient
Background: Anatomically myocardial bridging (MB) consists of either superficial myocardial fibers that traverse over the LAD or deep fibers that encircle the coronary artery. In this study, we present a patient with myocardial bridging, who was primarily diagnosed with coronary artery disease which...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Babol University of Medical Sciences
2020-01-01
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| Series: | Caspian Journal of Internal Medicine |
| Subjects: | |
| Online Access: | http://caspjim.com/article-1-1763-en.html |
| _version_ | 1811292778700734464 |
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| author | Hassan Aghajani Kaveh Hosseini Saeed Alizadeh Reyhaneh Aghajani |
| author_facet | Hassan Aghajani Kaveh Hosseini Saeed Alizadeh Reyhaneh Aghajani |
| author_sort | Hassan Aghajani |
| collection | DOAJ |
| description | Background: Anatomically myocardial bridging (MB) consists of either superficial myocardial fibers that traverse over the LAD or deep fibers that encircle the coronary artery. In this study, we present a patient with myocardial bridging, who was primarily diagnosed with coronary artery disease which did not properly respond to full-dose medical treatment but benefited from coronary artery bypass graft (CABG).
Case presentation: In 2017, a 53-year old man was referred to Tehran Heart Center (THC) with complaint of typical chest pain (TCP). In 2003 he had TCP and underwent coronary angiogram (CAG), due to positive non-invasive tests. Muscle-bridge in LAD was diagnosed. In 2007, he was symptomatic and another CAG was done, and percutaneous coronary intervention (PCI) with stenting was performed. In 2008 he became symptomatic and his interventionist, decided to perform another CAG. At that time, he had CABG. He was asymptomatic until 2015, he referred to us with the same TCP and we decided to perform CAG for the fourth time. After two years, again another PCI was done due to in-stent restenosis.
Conclusion: Revascularization should be considered in MB refractory to medical treatment. However, coronary perforation, in-stent restenosis and graft failure are major concerns. |
| first_indexed | 2024-04-13T04:51:33Z |
| format | Article |
| id | doaj.art-4ff93930505a472cb9cb5bc09570f3d0 |
| institution | Directory Open Access Journal |
| issn | 2008-6164 2008-6172 |
| language | English |
| last_indexed | 2024-04-13T04:51:33Z |
| publishDate | 2020-01-01 |
| publisher | Babol University of Medical Sciences |
| record_format | Article |
| series | Caspian Journal of Internal Medicine |
| spelling | doaj.art-4ff93930505a472cb9cb5bc09570f3d02022-12-22T03:01:40ZengBabol University of Medical SciencesCaspian Journal of Internal Medicine2008-61642008-61722020-01-01111120123Challenging case of Muscle Bridge; a 15-year follow-up of a patientHassan Aghajani0Kaveh Hosseini1Saeed Alizadeh2Reyhaneh Aghajani3 Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran School of Medicine, Tehran University of Medical Sciences, Tehran, Iran School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Background: Anatomically myocardial bridging (MB) consists of either superficial myocardial fibers that traverse over the LAD or deep fibers that encircle the coronary artery. In this study, we present a patient with myocardial bridging, who was primarily diagnosed with coronary artery disease which did not properly respond to full-dose medical treatment but benefited from coronary artery bypass graft (CABG). Case presentation: In 2017, a 53-year old man was referred to Tehran Heart Center (THC) with complaint of typical chest pain (TCP). In 2003 he had TCP and underwent coronary angiogram (CAG), due to positive non-invasive tests. Muscle-bridge in LAD was diagnosed. In 2007, he was symptomatic and another CAG was done, and percutaneous coronary intervention (PCI) with stenting was performed. In 2008 he became symptomatic and his interventionist, decided to perform another CAG. At that time, he had CABG. He was asymptomatic until 2015, he referred to us with the same TCP and we decided to perform CAG for the fourth time. After two years, again another PCI was done due to in-stent restenosis. Conclusion: Revascularization should be considered in MB refractory to medical treatment. However, coronary perforation, in-stent restenosis and graft failure are major concerns.http://caspjim.com/article-1-1763-en.htmlrefractory myocardial bridgingpercutaneous coronary interventioncoronary artery bypass graftin-stent restenosisgraft failure |
| spellingShingle | Hassan Aghajani Kaveh Hosseini Saeed Alizadeh Reyhaneh Aghajani Challenging case of Muscle Bridge; a 15-year follow-up of a patient Caspian Journal of Internal Medicine refractory myocardial bridging percutaneous coronary intervention coronary artery bypass graft in-stent restenosis graft failure |
| title | Challenging case of Muscle Bridge; a 15-year follow-up of a patient |
| title_full | Challenging case of Muscle Bridge; a 15-year follow-up of a patient |
| title_fullStr | Challenging case of Muscle Bridge; a 15-year follow-up of a patient |
| title_full_unstemmed | Challenging case of Muscle Bridge; a 15-year follow-up of a patient |
| title_short | Challenging case of Muscle Bridge; a 15-year follow-up of a patient |
| title_sort | challenging case of muscle bridge a 15 year follow up of a patient |
| topic | refractory myocardial bridging percutaneous coronary intervention coronary artery bypass graft in-stent restenosis graft failure |
| url | http://caspjim.com/article-1-1763-en.html |
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