Coronary artery occlusion and myocardial infarction caused by vasospasm within a myocardial bridge.
Myocardial bridging is a common congenital coronary anomaly that is clinically silent in the majority of cases. Case reports suggest myocardial ischemia and infarction can be caused by myocardial bridging. The proposed mechanisms by which myocardial bridging causes myocardial ischemia include compromised coronary blood flow, endothelial dysfunction, thrombus formation and a strong association with coronary vasospasm. We reported a case of myocardial infarction caused by both myocardial bridging and coronary vasospasm. We reviewed the literature and suggest that coronary stenting may have a role in treating myocardial ischemia due to myocardial bridging and coronary spasm that is refractory to medical management.
Vales
Lori
L
Beth Israel Medical Center, The Heart Institute, 1st Avenue at 16th Street, Baird Hall, 5th Floor, New York, NY 10003, USA. lvalesmd@gmail.com
Kanei
Yumiko
Y
Fox
John
J
D015906:Angioplasty, Balloon, Coronary; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000628:therapy; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003329:Coronary Vasospasm / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D054084:Myocardial Bridging / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012008:Recurrence; D012017:Referral and Consultation; D015607:Stents