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Coronary stenting in the management of myocardial ischaemia caused by muscle bridging.
  1. R. H. Stables,
  2. C. J. Knight,
  3. J. G. McNeill,
  4. U. Sigwart
  1. Department of Cardiology, Royal Brompton Hospital, London.


    A man of 64 was admitted for the investigation of post infarction angina. He was found to have angiographically normal coronary arteries, except for the presence of a muscle bridge in the left anterior descending coronary artery, believed to be subtending the ischaemic area. He had sustained a completed myocardial infarction in this territory 8 months before with identical findings at coronary angiography. A coronary stent was implanted in the intramyocardial segment and the patient made a good recovery with no adverse events at follow up 6 months later.

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