Surgical Unroofing a Long-Segment Myocardial Bridge of the Left Anterior
Descending Artery Leading to Complete Angiographic and Symptomatic
Improvement: A Case Report
A 52-year-old man presented to our institution with a one year history
of intermittent, progressive chest tightness with activity. He underwent
stress test which was positive. Coronary angiography revealed a long
segment myocardial bridge of the left anterior descending artery (LAD).
Initially, he was trialed on maximal medical therapy, however, symptoms
continued. As a result, he was brought to the operating room for
unroofing of the myocardial bridge with excellent clinical and
radiographic outcome. The diagnosis, medical, and surgical management of
myocardial bridge is complicated. Long-term data surrounding best
options for management is scarce.