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

Case Report

Volume 3, Issue 2

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

Daniel E Diez^1*, 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.

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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.

Article Details

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