The significance of myocardial bridging is still a matter of debate, and al
though several reports have underlined its pathologic potential, myocardial
bridging is often considered to be a benign phenomenon. We present here th
e case of a 63-year-old woman with a history of acute left heart failure an
d ECG evidence of ischemia, and whose primary abnormality on extensive work
up was myocardial bridging. This case further underlines that myocardial br
idging can lead to significant cardiac events.