The myocardial bridge (MB) is an anomaly of the coronary arteries that usually affect the left anterior descending artery (LAD). It mainly affect middle aged patients at low risk for CAD, but can manifest as unstable or stable angina, AMI and sudden death, with the latter two being rare. We report a case of 40 year-old-man, who presented with complaint of severe crushing chest pain associated w...

RATIONALE Although myocardial bridging (MB) is usually considered as benign, initial medical therapy and following surgical treatment in drug-refractory cases has been widely accepted for managing symptomatic MB. Before the patient proceeds to percutaneous or surgical intervention, however, the presence of objective ischemia in the corresponding myocardial territory should be documented. PATI...

A 28-year-old man was admitted because of chest pain. Emergency coronary angiography showed a massive thrombus in the proximal segment and another occlusive thrombus in the distal segment of the left anterior descending artery. He was treated with thrombolytic therapy. Repeat coronary angiography showed disappearance of the thrombi in the proximal and distal segments and obvious myocardial brid...