JACC. Case reports, Volume 29, Issue 13, 24 4 2024, Pages 102382 Myocardial Bridging as a Trigger in Angina With No Obstructive Coronary Artery Disease. Beijk MAM, Woudstra J, Vink AS, Bijsterveld NR, de Lind van Wijngaarden RAF, Klautz RJM
We present 2 patients with angina with no obstructive coronary artery disease and concomitant myocardial bridging. Despite maximal tolerated pharmacotherapy, symptoms remained. Invasive anatomical and hemodynamic assessment identified myocardial bridging as a contributing cause of angina. Following heart team discussion, both patients underwent successful coronary artery unroofing of the left anterior descending artery.