MYOCARDIAL BRIDGE AS A CAUSE OF THROMBUS FORMATION AND MYOCARDIAL-INFARCTION IN A YOUNG ATHLETE

We report here a young male athlete who had an acute myocardial infect ion after strenuous exercise. Coronary angiography clearly demonstrate d thrombus formation within a prominent myocardial bridge. Periarteria l resection surgery was preformed, which resulted in resolution of the angiographic ''milking'' effect of the muscle bridge. Our observation , along with previous reports, suggest that myocardial bridges should be added to the list of known causes of sudden death or myocardial inf arction in young persons after strenuous exercise. Thrombus formation within a myocardial bridge may be a potential mechanism whereby this a natomic curiosity may cause a tragic clinical event.