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Acute myocardial infarction associated to myocardial bridging

We report the case of a 73-year-old man, with a history of hypertension, dyslipidemia, and previous smoking, admitted with a non-ST segment elevation myocardial infarction. Coronary angiography showed a myocardial bridge in the left anterior descending artery, with no obstructive lesions in other coronary arteries. Because of the raise in serum markers of myocardial necrosis and the development of transient ST segment elevation in the anterior wall, despite optimized medical treatment, we performed intravascular ultrasound, which showed an ulcerated lesion in the myocardial bridge territory, which was followed by a successful coronary angioplasty with stent implantation. The patient had a favorable course and was discharged from the hospital.

Myocardial bridging; Ultrasonics; Angioplasty, transluminal, percutaneous coronary; Stents; Ischemia


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