A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction

50 years old female patient with a medical history of hypertension presented to the clinic with chest pain, palpitations, and dyspnea on exertion of 2 years duration. Extensive workup in search of the culprit etiology of her chest pain revealed a challenging combination of an anomalous left anterior...

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Main Authors: Edward A. El-Am, Michel T. Corban, Amy W. Pollak, Amir Lerman, Naser M. Ammash
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-04-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fcvm.2020.00057/full
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author Edward A. El-Am
Edward A. El-Am
Michel T. Corban
Amy W. Pollak
Amir Lerman
Naser M. Ammash
author_facet Edward A. El-Am
Edward A. El-Am
Michel T. Corban
Amy W. Pollak
Amir Lerman
Naser M. Ammash
author_sort Edward A. El-Am
collection DOAJ
description 50 years old female patient with a medical history of hypertension presented to the clinic with chest pain, palpitations, and dyspnea on exertion of 2 years duration. Extensive workup in search of the culprit etiology of her chest pain revealed a challenging combination of an anomalous left anterior descending artery with myocardial bridging and endothelial dysfunction. She was treated medically with long acting nitrates, L-arginine and calcium channel blockers, and remains asymptomatic after 12 months of follow up.
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spelling doaj.art-505b59692920495ea490574641c695892022-12-22T03:58:39ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2020-04-01710.3389/fcvm.2020.00057507498A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial DysfunctionEdward A. El-Am0Edward A. El-Am1Michel T. Corban2Amy W. Pollak3Amir Lerman4Naser M. Ammash5Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United StatesDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, United StatesDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United StatesDepartment of Cardiovascular Diseases, Mayo Clinic, Jacksonville, FL, United StatesDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United StatesDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United States50 years old female patient with a medical history of hypertension presented to the clinic with chest pain, palpitations, and dyspnea on exertion of 2 years duration. Extensive workup in search of the culprit etiology of her chest pain revealed a challenging combination of an anomalous left anterior descending artery with myocardial bridging and endothelial dysfunction. She was treated medically with long acting nitrates, L-arginine and calcium channel blockers, and remains asymptomatic after 12 months of follow up.https://www.frontiersin.org/article/10.3389/fcvm.2020.00057/fullendothelial dysfunctionvasospasmmyocardial bridginganomalous coronary arterycase report
spellingShingle Edward A. El-Am
Edward A. El-Am
Michel T. Corban
Amy W. Pollak
Amir Lerman
Naser M. Ammash
A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction
Frontiers in Cardiovascular Medicine
endothelial dysfunction
vasospasm
myocardial bridging
anomalous coronary artery
case report
title A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction
title_full A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction
title_fullStr A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction
title_full_unstemmed A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction
title_short A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction
title_sort challenging combination anomalous left anterior descending coronary artery myocardial bridging and endothelial dysfunction
topic endothelial dysfunction
vasospasm
myocardial bridging
anomalous coronary artery
case report
url https://www.frontiersin.org/article/10.3389/fcvm.2020.00057/full
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