Key clinical message
Myocardial bridging is a common coronary anomaly. Although it is considered to be a benign condition, it can rarely be complicated by myocardial infarction.
Myocardial bridging is congenital coronary anomaly in which coronary arteries pass through the heart muscle rather than lying on its surface. It is a benign condition and most patients do not have symptoms. Some patients may have symptoms of angina. Patients may rarely present with myocardial ischemia or infarction. Here, we present a case of 38 years old female patient who presented with chest pain of 2 months duration. Further evaluation with CT- coronary angiography revealed myocardial bridging. Subsequently, she developed myocardial infarction, which is a rare complication of this condition. We discuss rare complication of this common anomaly.
Key words: chest pain, myocardial bridging, coronary anomaly, myocardial ischemia, myocardial infarction.