Coronary stenting in the management of myocardial ischaemia caused by muscle bridging.
A man of 64 was admitted for the investigation of post infarction angina. He was found to have angiographically normal coronary arteries, except for the presence of a muscle bridge in the left anterior descending coronary artery, believed to be subtending the ischaemic area. He had sustained a completed myocardial infarction in this territory 8 months before with identical findings at coronary angiography. A coronary stent was implanted in the intramyocardial segment and the patient made a good recovery with no adverse events at follow up 6 months later.
Stables
R H
RH
Department of Cardiology, Royal Brompton Hospital, London.
Knight
C J
CJ
McNeill
J G
JG
Sigwart
U
U
D017023:Coronary Angiography; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D009206:Myocardium; D015607:Stents