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Article Details

Case Report
Volume 3, Issue 2 (May Issue)

A Bridge Too Far: A Case of Myocardial Bridge Requiring Unroofing and Complicated by Post-Cardiac Injury Syndrome

Daniel E Diez1*, Alfredo Toll1, Ernesto Perez Colome1, Ruben Cabrera3, David Cotto Velez1, David D Diez4 and Hector Crespo2

1HCA Florida Kendall Hospital, Internal Medicine Department, SW 40th Street, Miami, Florida

2HCA Florida Kendall Hospital, Cardiology Department, SW 40th Street, Miami, Florida

3HCA Florida Aventura Hospital, Critical Care/Pulmonology Department, Biscayne Blvd, Aventura, Florida

4American University of the Caribbean School of Medicine, SW 80th Terrace, Plantation, Florida

*Corresponding author: Daniel E Diez, HCA Florida Kendall Hospital, Internal Medicine Department, SW 40th Street, Miami, Florida, United States.

Received: January 16, 2023; Accepted: February 02, 2023; Published: May 15, 2023

Citation: Diez DE, Toll A, Colome EP, et al. A Bridge Too Far: A Case of Myocardial Bridge Requiring Unroofing and Complicated by Post- Cardiac Injury Syndrome. Case Rep Clin Cardiol J. 2023; 3(2): 125.

A Bridge Too Far: A Case of Myocardial Bridge Requiring Unroofing and Complicated by Post-Cardiac Injury Syndrome
Abstract

Myocardial bridging is a congenital heart defect in which a segment of a coronary artery tunnels underneath the myocardium and is also a rare cause of angina. The most commonly involved artery is the mid-segment of the left anterior descending artery (LAD) with a prevalence of 67-98% [1,2]. While medical management with negative inotropic/chronotropic agents such as beta blockers and calcium channel blockers are considered first-line therapy, surgical interventions including myocardial unroofing procedures can be safely performed and are associated with a 63% reduction in chest pain.