Challenging case of muscle bridge; a 15-year follow-up of a patient (Case Report)

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AGHAJANI HASSAN; Hosseini Kaveh; Alizadeh Saeed; Aghajani Reyhaneh

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Journal Paper

Paper Information

Journal: Caspian Journal of Internal Medicine Year:2020 | Volume:11 | Issue:1 Page(s): 120-123

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Title

Challenging case of muscle bridge; a 15-year follow-up of a patient (Case Report)

Author(s)

AGHAJANI HASSAN | Hosseini Kaveh | Alizadeh Saeed | Aghajani Reyhaneh | Issue Writer Certificate

Keywords

Refractory myocardial bridging

Percutaneous coronary intervention

Coronary artery bypass graft

In-stent restenosis;graft failure

Abstract

Background: Anatomically myocardial bridging (MB) consists of either superficial myocardial fibers that traverse over the LAD or deep fibers that encircle the coronary artery. In this study, we present a patient with myocardial bridging, who was primarily diagnosed with coronary artery disease which did not properly respond to full-dose medical treatment but benefited from Coronary artery bypass graft (CABG). Case presentation: In 2017, a 53-year old man was referred to Tehran Heart Center (THC) with complaint of typical chest pain (TCP). In 2003 he had TCP and underwent coronary angiogram (CAG), due to positive non-invasive tests. Muscle-bridge in LAD was diagnosed. In 2007, he was symptomatic and another CAG was done, and Percutaneous coronary intervention (PCI) with stenting was performed. In 2008 he became symptomatic and his interventionist, decided to perform another CAG. At that time, he had CABG. He was asymptomatic until 2015, he referred to us with the same TCP and we decided to perform CAG for the fourth time. After two years, again another PCI was done due to in-stent restenosis. Conclusion: Revascularization should be considered in MB refractory to medical treatment. However, coronary perforation, in-stent restenosis and graft failure are major concerns.

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References

The outcome of percutaneous coronary intervention for significant atherosclerotic lesions in segment proximal to myocardial bridge at left anterior descending coronary artery

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APA: Copy

AGHAJANI, HASSAN, Hosseini, Kaveh, Alizadeh, Saeed, & Aghajani, Reyhaneh. (2020). Challenging case of muscle bridge; a 15-year follow-up of a patient (Case Report). CASPIAN JOURNAL OF INTERNAL MEDICINE, 11(1), 120-123. SID. https://sid.ir/paper/323579/en

Vancouver: Copy

AGHAJANI HASSAN, Hosseini Kaveh, Alizadeh Saeed, Aghajani Reyhaneh. Challenging case of muscle bridge; a 15-year follow-up of a patient (Case Report). CASPIAN JOURNAL OF INTERNAL MEDICINE[Internet]. 2020;11(1):120-123. Available from: https://sid.ir/paper/323579/en

IEEE: Copy

HASSAN AGHAJANI, Kaveh Hosseini, Saeed Alizadeh, and Reyhaneh Aghajani, “Challenging case of muscle bridge; a 15-year follow-up of a patient (Case Report),” CASPIAN JOURNAL OF INTERNAL MEDICINE, vol. 11, no. 1, pp. 120–123, 2020, [Online]. Available: https://sid.ir/paper/323579/en

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