Complete Myocardial Bridging.

ABSTRACT:

Background

Myocardial bridging is an anatomical variant in which coronary arteries course within the myocardium rather than on the epicardial surface. Complete intramyocardial coronary systems are extremely rare and can lead to significant clinical consequences.

Case summary

An 18-year-old man with left ventricular noncompaction cardiomyopathy experienced chest pain and syncope while playing basketball, and was subsequently diagnosed with ST-segment elevation myocardial infarction. Coronary imaging revealed a completely intramyocardial coronary system. Despite medical management and placement of implantable cardioverter-defibrillator, he developed heart failure requiring heart transplant evaluation.

Discussion

This case underscores the complexity of managing extensive

SUBMITTER: Abid S 

PROVIDER: S-EPMC12402392 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature