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...
Main Authors: | , , , , |
---|---|
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 |
_version_ | 1798043422519459840 |
---|---|
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. |
first_indexed | 2024-04-11T22:48:51Z |
format | Article |
id | doaj.art-505b59692920495ea490574641c69589 |
institution | Directory Open Access Journal |
issn | 2297-055X |
language | English |
last_indexed | 2024-04-11T22:48:51Z |
publishDate | 2020-04-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Cardiovascular Medicine |
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 |
work_keys_str_mv | AT edwardaelam achallengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT edwardaelam achallengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT micheltcorban achallengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT amywpollak achallengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT amirlerman achallengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT nasermammash achallengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT edwardaelam challengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT edwardaelam challengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT micheltcorban challengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT amywpollak challengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT amirlerman challengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction AT nasermammash challengingcombinationanomalousleftanteriordescendingcoronaryarterymyocardialbridgingandendothelialdysfunction |