title: [Coronary angioplasty in the acute phase of a myocardial infarction on a myocardial bridge].
abstract: A myocardial bridge is usually asymptomatic but can cause myocardial ischemia, myocardial infarction or sudden death. Two occurrences of coronary angioplasty in the acute phase of an anterior myocardial infarction on a myocardial bridge are reported. The first case was first treated only with a balloon, and then with a stent 12 h later after a relapse of angina pectoris and the recurrence of a severe compression. The second case immediately benefited from a stent. A systematic control at six months has shown the absence of restenosis in the first case and an asymptomatic occlusion of the stent in the second case. Its deocclusion has revealed a myocardial bridge downstream of the stent. Myocardial stunning might have caused a decreased systolic compression by the bridge in the first case, and an underestimation of its actual length in the second case. Its regression is held responsible for these two relapses. A long active stent installed at high pressure could be used to treat myocardial bridges during myocardial infarctions.
authors.affiliation: CHU Fattouma Bourguiba, Paris, France. faouzi.addad@rns.tn
authors.forename: F
authors.initials: F
authors.lastname: Addad
authors.forename: A
authors.initials: A
authors.lastname: Lafont
authors.forename: H
authors.initials: H
authors.lastname: Gamra
authors.forename: E
authors.initials: E
authors.lastname: Durand
authors.forename: K
authors.initials: K
authors.lastname: Ben-Hamda
authors.forename: Z
authors.initials: Z
authors.lastname: Dridi
authors.forename: F
authors.initials: F
authors.lastname: Betbout
authors.forename: F
authors.initials: F
authors.lastname: Maatouk
authors.forename: M
authors.initials: M
authors.lastname: Desnos
authors.forename: M
authors.initials: M
authors.lastname: Ben-Farhat
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000517:prevention & control; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D017682:Myocardial Stunning / Q000503:physiopathology; D009206:Myocardium / Q000473:pathology*; D015607:Stents