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Author Spotlight: Enhancing Coronary Artery Revascularization
05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

842

Complete Myocardial Bridging

Shaun Abid1, Anton Stolear2, Samdish Sethi2

  • 1Department of Internal Medicine, Yale New Haven Health, Bridgeport Hospital, Bridgeport, Connecticut, USA.

JACC. Case Reports
|August 29, 2025
PubMed

Insights

Complete intramyocardial coronary systems, a rare anomaly, can cause severe cardiac events. Management requires specialized, multidisciplinary care due to unfeasible traditional treatments.

Area of Science:

  • Cardiology
  • Anatomical Pathology

Background:

  • Myocardial bridging is a coronary artery anomaly where vessels run within the heart muscle.
  • Complete intramyocardial coronary systems are exceptionally rare and pose significant clinical risks.

Observation:

  • An 18-year-old male with left ventricular noncompaction cardiomyopathy presented with chest pain and syncope during exertion.
  • Diagnosis included ST-segment elevation myocardial infarction and a completely intramyocardial coronary system.

Findings:

  • The patient developed heart failure despite medical management and an implantable cardioverter-defibrillator.
  • Extensive myocardial bridging involving the entire coronary system can lead to ischemia, arrhythmias, and sudden cardiac events.

Implications:

  • Managing extensive intramyocardial coronary anatomy is complex and requires individualized, multidisciplinary approaches.
  • Conventional revascularization strategies are often not viable for these rare anatomical anomalies.
Abstract

Keywords:
ST-elevation myocardial infarctionheart transplantationleft ventricular noncompactionmyocardial bridgingsyncopeventricular tachycardia

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