A 62-year-old female patient with hypertension and a 4-month history of angina pectoris, triggered by emotional stress. The electrocardiogram showed left ventricular hypertrophy and changes in ventricular repolarization. The coronary angiography showed a significant left ventricular hypertrophy with no intracavitary gradient, and the presence of a myocardial bridge over the middle third of the left anterior descending artery and the right coronary artery in its posterior descending branch. Myocardial bridge almost exclusively occurs in the left anterior descending artery. Reports of a myocardial bridge involving the left circumflex artery are rare, and even rarer is the involvement of the right coronary artery.
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