[Acute myocardial infarction in myocardial bridge treated by coronary stent]

G Macaluso1, P Commeau, P O Roquebert

  • 1Service de cardiologie, centre hospitalier privé Beauregard, Marseille. macaluso.g@wanadoo.fr

Archives Des Maladies Du Coeur Et Des Vaisseaux
|March 23, 2004
PubMed

Insights

Symptomatic myocardial bridge causing heart attack was treated with stenting. Repeat stenting with drug-eluting stents successfully resolved restenosis, leading to good long-term outcomes without angina.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Myocardial bridges can cause myocardial infarction.
  • Symptomatic myocardial bridges require effective treatment strategies.

Observation:

  • A case of symptomatic myocardial bridge during acute anterior wall myocardial infarction is presented.
  • Initial treatment involved stenting of the left anterior descending artery.

Findings:

  • Intrastent restenosis occurred at two dilated sites one and a half months post-procedure.
  • A second angioplasty with sirolimus-eluting stents successfully treated the restenosis.

Implications:

  • Sirolimus-eluting stents are effective for treating myocardial bridge-related restenosis.
  • This case demonstrates a successful long-term outcome for myocardial infarction secondary to myocardial bridging.