Coexistence of Spontaneous Coronary Artery Dissection, Takotsubo Cardiomyopathy, and Myocardial Bridge

Shuichi Kegai; Katsumasa Sato; Kenji Goto; Takaya Ozawa; Tomonari Kimura; Kazunari Kobayashi; Yuetsu Kikuta; Masahito Taniguchi; Shigeki Hiramatsu; Hideo Takebayashi; Seiichi Haruta

doi:10.1016/j.jaccas.2020.11.042

Coexistence of Spontaneous Coronary Artery Dissection, Takotsubo Cardiomyopathy, and Myocardial Bridge

JACC Case Rep. 2021 Feb 17;3(2):250-254. doi: 10.1016/j.jaccas.2020.11.042. eCollection 2021 Feb.

Affiliation

¹ Department of Cardiology, Fukuyama Cardiovascular Hospital, Fukuyama, Japan.

Abstract

We report a case of spontaneous coronary artery dissection located next to a myocardial bridge in a patient with concomitant takotsubo cardiomyopathy. A fusion image with multidetector-row computed tomography and single-photon emission computed tomography played an important role in the diagnosis of these lesions. (Level of Difficulty: Advanced.).

Keywords: 123I-BMIPP, iodine-123 beta-methyl iodophenyl pentadecanoic acid; CAG, coronary angiography; ECG, electrocardiogram; IVUS, intravascular ultrasonography; LAD, left anterior descending artery; MB, myocardial bridge; MDCT, multidetector-row computed tomography; SCAD, spontaneous coronary artery dissection; SPECT, single-photon emission computed tomography; TC, takotsubo cardiomyopathy; apical ballooning; myocardial bridge; spontaneous coronary artery dissection; takotsubo cardiomyopathy.

Publication types

Case Reports