Through the lens of uniqueness: an atypical presentation of myocardial bridge in the coronary trifurcation | [Pakistan Heart Journal • 2024]

Author(s):

1. Azhar ul Hassan Qureshi: Fauji Foundation Hospital, Rawalpindi, Pakistan

2. Waqas Mohiuddin: Fauji Foundation Hospital, Rawalpindi, Pakistan

3. Muwahhid Rasheed: Fauji Foundation Hospital, Rawalpindi, Pakistan

4. Wajahat Alam Lodhi: Fauji Foundation Hospital, Rawalpindi, Pakistan

5. Muhammad Waleed Hassan: Fauji Foundation Hospital, Rawalpindi, Pakistan

6. Asif Manzoor: Fauji Foundation Hospital, Rawalpindi, Pakistan

Abstract:

Myocardial bridges are commonly encountered findings during coronary angiography, typically occurring over the mid or distal segments of the left anterior descending artery (LAD). Coronary trifurcation represents another variant of normal coronary anatomy. However, muscle bridges rarely involve a trifurcation branch. Symptomatic patients with muscle bridges often present with angina or dyspnea and may even experience acute coronary syndromes. Management typically involves medical intervention, with percutan eous coronary intervention (PCI) or cardiac surgery reserved for severe cases. Here, we present a unique case of a young female who presented with acute coronary syndrome due to a muscle bridge occurring over a trifurcation branch.

Page(s): 162-165

DOI: 10.47144/phj.v57i2.2743

Published: Journal: Pakistan Heart Journal, Volume: 57, Issue: 2, Year: 2024

Keywords:

Acute coronary syndrome , Coronary Trifurcation , Muscle Bridge

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