title: Schwarz Type C Myocardial Bridge Unraveled Post-Thrombus Aspiration in a Patient with Hypertrophic Cardiomyopathy.
abstract: Hypertrophic cardiomyopathy (HCM), a heterogenous disease with diverse pathology and variable clinical course has a high prevalence of myocardial bridging. Despite the high prevalence of myocardial bridging in HCM patients, acute ST-elevation myocardial infarction (STEMI) due to concomitant atherothrombosis proximal to Schwarz type C myocardial bridge unraveled during trans-radial primary percutaneous intervention has rarely been reported in medical literature. Herein, we report a case of Schwarz type C myocardial bridge unmasked postthrombosuction in a patient with HCM presenting with acute STEMI. He had atherothrombosis proximal to the tunneled left anterior descending artery which was successfully stented with drug-eluting stent without the aid of intravascular ultrasound.
authors.affiliation: Department of Cardiology, CARE Hospital, Bhubaneswar, Bhubaneswar, Odisha, India.
authors.forename: Satyajit
authors.initials: S
authors.lastname: Singh
authors.affiliation: Department of Cardiology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
authors.forename: Aditya
authors.initials: A
authors.lastname: Kapoor
keywords: Hypertrophic cardiomyopathy; Schwarz type C myocardial bridge; primary percutaneous intervention