Document Detail

Coronary artery occlusion and myocardial infarction caused by vasospasm within a myocardial bridge.
MedLine Citation:
PMID:  20351399     Owner:  NLM     Status:  MEDLINE    
Myocardial bridging is a common congenital coronary anomaly that is clinically silent in the majority of cases. Case reports suggest myocardial ischemia and infarction can be caused by myocardial bridging. The proposed mechanisms by which myocardial bridging causes myocardial ischemia include compromised coronary blood flow, endothelial dysfunction, thrombus formation and a strong association with coronary vasospasm. We reported a case of myocardial infarction caused by both myocardial bridging and coronary vasospasm. We reviewed the literature and suggest that coronary stenting may have a role in treating myocardial ischemia due to myocardial bridging and coronary spasm that is refractory to medical management.
Lori Vales; Yumiko Kanei; John Fox
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  22     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-30     Completed Date:  2010-08-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E67-9     Citation Subset:  IM    
Beth Israel Medical Center, The Heart Institute, 1st Avenue at 16th Street, Baird Hall, 5th Floor, New York, NY 10003, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Aneurysm / diagnosis,  therapy
Coronary Angiography
Coronary Stenosis / diagnosis,  etiology*,  therapy
Coronary Vasospasm / complications*,  diagnosis,  therapy
Follow-Up Studies
Middle Aged
Myocardial Bridging / complications*,  diagnosis,  therapy
Myocardial Infarction / diagnosis,  etiology*,  therapy
Referral and Consultation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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