CORONARY STENTING IN THE MANAGEMENT OF MYOCARDIAL-ISCHEMIA CAUSED BY MUSCLE BRIDGING

A man of 64 was admitted for the investigation of post infarction angi na. He was found to have angiographically normal coronary arteries, ex cept for the presence of a muscle bridge in the left anterior descendi ng coronary artery, believed to be subtending the ischaemic area. He h ad sustained a completed myocardial infarction in this territory 8 mon ths before with identical findings at coronary angiography. A coronary stent was implanted in the intramyocardial segment and the patient ma de a good recovery with no adverse events at follow up 6 months later.