A case of myocardial bridging of the left circumflex coronary artery

Turk Kardiyol Dern Ars. 2008 Dec;36(8):562-3.

Abstract

Myocardial bridge is a cluster of myocardial fibers crossing over the epicardial coronary arteries at a distance. It is most frequently seen on the left anterior descending artery. Involvement of the left circumflex coronary artery is very rare. A 63-year-old man presented with chest pain radiating to the left shoulder. Physical examination was normal. The electrocardiogram showed slight lateral ST-segment changes. Treadmill electrocardiography revealed significant lateral ST and T wave changes. Coronary angiography showed normal coronary arteries except for significant systolic narrowing of the mid-circumflex artery after the first obtuse marginal branch. The patient was discharged with beta-blocker therapy. He had no recurrent chest pain during eight months of follow-up.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use*
  • Coronary Angiography / methods*
  • Coronary Circulation / physiology*
  • Coronary Vessel Anomalies / complications*
  • Coronary Vessel Anomalies / diagnosis
  • Coronary Vessel Anomalies / drug therapy
  • Diagnosis, Differential
  • Electrocardiography
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged

Substances

  • Adrenergic beta-Antagonists