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Heart 1998;80:91-93; doi:10.1136/hrt.80.1.91
Copyright © 1998 BMJ Publishing Group Ltd & British Cardiovascular Society

Heart 1998;80:91-93 ( July )

Case report

Coronary atherosclerosis within a myocardial bridge, not a benign condition Robbert J de Winter, Wouter E M Kok, Jan J Piek

Department of Cardiology, Academic Medical Center, University of Amsterdam, Netherlands

Correspondence to: Dr de Winter, Department of Cardiology, Room G3-231, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, Netherlands; email:r.j.dewinter{at}amc.uva.nl

Accepted for publication 13 August 1997

In patients with myocardial bridging, the area within the bridge usually remains free from atherosclerotic disease. The case of a 47 year old man is described who had the rare combination of myocardial bridging with an atherosclerotic plaque within the area of bridging, which was detected with intravascular ultrasound but not with coronary angiography. The clinical history of the patient demonstrates that this is not a benign condition. In symptomatic patients the bridged segment should be screened for the presence of plaque with intracoronary ultrasound.

Keywords: myocardial bridging;  intravascular ultrasound;  atherosclerotic plaque

© 1998 by Heart
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