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A bridge too far
  1. Julian Gunn
  1. Correspondence to Dr Julian Gunn, Department of Cardiovascular Science, University of Sheffield, M116, Royal Hallamshire Hospital, Sheffield S10 2JF, UK; j.gunn{at}

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A man in his 60s with no prior cardiac history presented with a non-ST-elevation acute coronary syndrome. Coronary angiography revealed a moderate lesion in mid-left anterior-descending artery (figure 1A) and two muscular bridges visible only in systole (figure 1B). The myocardial fractional flow reserve (FFR), after an intracoronary bolus of …

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  • Competing interests None.

  • Ethics approval The angiographical images and case history were completely anonymised; therefore the study does not need consent or ethics approval.

  • Provenance and peer review Not commissioned; internally peer reviewed.