A case of co-existence of muscle bridge and anomalous origin of coronary artery

Federica Iezzi; Francesca Chiara Surace; Massimo Colaneri; Alessandro Capestro; Marco Pozzi

doi:10.1016/j.ijscr.2019.02.049

A case of co-existence of muscle bridge and anomalous origin of coronary artery

Int J Surg Case Rep. 2019:57:67-70. doi: 10.1016/j.ijscr.2019.02.049. Epub 2019 Mar 16.

Authors

Federica Iezzi¹, Francesca Chiara Surace², Massimo Colaneri², Alessandro Capestro², Marco Pozzi²

Affiliations

¹ Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Azienda Ospedaliero-Universitaria, Ospedali Riuniti Ancona "Umberto I, G.M. Lancisi, G. Salesi", Ancona, Italy. Electronic address: federicaiezzi@hotmail.it.
² Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Azienda Ospedaliero-Universitaria, Ospedali Riuniti Ancona "Umberto I, G.M. Lancisi, G. Salesi", Ancona, Italy.

Abstract

Introduction: Coronary artery anomalies result from disturbances which may occur to the fetus in the third week of development. These disturbances may lead to anatomical variations which may affect the origin, trajectory, and termination of these arteries, or alterations in their intrinsic anatomy.

Presentation of case: We report an unusual case in which both anomalous origin of the right coronary artery and myocardial bridge on left anterior descending artery were detected concurrently.

Discussion: An investigation for myocardial bridge should be performed in all congenital coronary artery anomalies.

Conclusion: Invasive testing could be considered in patients with myocardial and equivocal non-invasive functional testing, in order to obtain better risk stratification and treatment.

Keywords: Case report; Coronary artery anomalies; Myocardial bridge.