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Coronary stenting for a muscular bridge in a patient with hypertrophic obstructive cardiomyopathy

Published online by Cambridge University Press:  24 May 2005

Darren L. Walters ,
Con N. Aroney  and
Dorothy J. Radford
Darren L. Walters
Affiliation:
Cardiology Department, Queensland Centre for Congenital Heart Disease, The Prince Charles Hospital, Chermside, Queensland, Australia
Con N. Aroney
Affiliation:
Cardiology Department, Queensland Centre for Congenital Heart Disease, The Prince Charles Hospital, Chermside, Queensland, Australia
Dorothy J. Radford
Affiliation:
Cardiology Department, Queensland Centre for Congenital Heart Disease, The Prince Charles Hospital, Chermside, Queensland, Australia
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Abstract

A young woman with hypertrophic cardiomyopathy presented with intractable chest pain due to a myocardial bridge over the left anterior descending artery, producing severe compression during systole. Percutaneous intracoronary stenting was performed. The patient, however, developed severe and diffuse restenosis within 30 days of the procedure. Myotomy may provide a more effective treatment option for such patients with symptomatic myocardial bridging.

Keywords

Interventional catheterizationcoronary arteriesmyocardial bridging
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 4 , August 2003 , pp. 377 - 379
Copyright
© 2003 Cambridge University Press

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References

Yetman AT, McCrindle BW, MacDonald C, Freedom RM, Gow R. Myocardial bridging in children with hypertrophic cardiomyopathy – a risk factor for sudden death. N Engl J Med 1998; 339: 1201–1209.Google Scholar
Haager PK, Schwarz ER, vom Dahl J, Klues HG, Reffelmann T, Hanrath P. Long term angiographic and clinical follow up in patients with stent implantation for symptomatic myocardial bridging. Heart 2000; 84: 403–408.Google Scholar
Prendergast BD, Kerr F, Starkey IR. Normalisation of abnormal coronary fractional flow reserve associated with myocardial bridging using an intracoronary stent. Heart 2000; 83: 705–707.Google Scholar
Bayes A, Marti V, Auge JM. Coronary stenting for symptomatic myocardial bridging. Heart 1998; 80: 102–103.Google Scholar
Klues HG, Schwarz ER, vom Dahl J, et al. Disturbed intracoronary hemodynamics in myocardial bridging: early normalization by intracoronary stent placement. Circulation 1997; 96: 2905–2913.Google Scholar
Smith SC, Taber MT, Robiolio PA, Lasala JM. Acute myocardial infarction caused by a myocardial bridge treated with intracoronary stenting. Cathet Cardiovasc Diagn 1997; 42: 209–212.Google Scholar
Hoffmann R, Mintz GS, Dussaillant GR, et al. Patterns and mechanisms of in-stent restenosis. A serial intravascular ultrasound study. Circulation 1996; 94: 1247–1254.Google Scholar
Katznelson Y, Petchenko P, Knobel B, Cohen AJ, Kishon Y, Schachner A. Myocardial bridging: surgical technique and operative results. Mil Med 1996; 161: 248–250.Google Scholar
Serruys PW, Degertekin M, Tanabe K, et al. Intravascular ultrasound findings in the multicenter, randomized, double-blind RAVEL (Randomized study with the sirolimus-eluting Velocity balloon-expandable stent in the treatment of patients with de novo native coronary artery Lesions) trial. Circulation 2002; 106: 798–803.Google Scholar
Grise MA, Massullo V, Jani S, et al. Five-year clinical follow-up after intracoronary radiation: results of a randomized clinical trial. Circulation 2002; 105: 2737–2740.Google Scholar