Self‐expanding intracoronary stent for symptomatic myocardial bridging

Abstract

Myocardial bridging has been recognized as a potential cause of symptoms of angina, arrhythmias and even infarction. Various treatment strategies including beta-blockers, surgery and more recently intra-coronary stents have been used to manage bridging. We report a novel case of use of self-expanding stent for myocardial bridging in a patient with symptoms of angina and ischemia on nuclear imaging. We further present the 18-month follow up showing minimal in-stent stenosis. To our knowledge, this is the first report of using a self-expanding stent in myocardial bridging. The use of self-expanding stents could be a potential treatment for symptomatic myocardial bridging.

Morphological Changes Associated with Hemodynamically Significant Myocardial Bridges in Sudden Cardiac Death

“…Nitrates should be avoided as, by improving contractility, they increase the degree of systolic narrowing [54]. Intracoronary stenting can be done with either conventional stents (which, however, have an increased risk for in-stent stenosis of up to 46 % [55] and for stent fractures) or self-expanding stents [56]. Surgical intervention, nowadays used only if stenting is contraindicated (long bridges, severe proximal atherosclerosis with calcifications, restenosis, etc.…”