Resumo

MEDINA ACUNA, Diego Arnaldo  e  GABRIAGUEZ GONZALEZ, Lorena Monserrat. Myocardial bridge as a cause of repeated infarction. Rev. virtual Soc. Parag. Med. Int. [online]. 2019, vol.6, n.2, pp.76-80.  Epub 01-Set-2019. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2019.06.02.76-080.

We present the case of a patient, without comorbidities, who is hospitalized due to recurrent acute myocardial infarction. On all occasions he presented typical precordial pain and elevated troponins. In his first cinecoronariography no angiographic lesions were found. Months later, he returned to hospital for a similar case, cinecoronariography is repeated that again reports coronary vessels without angiographic lesions but as a finding describes an image compatible with a muscular bridge at the level of the middle third of the anterior descending artery, with compressive effect during systoles and responsible for the myocardial ischemia. Finally, it is concluded as an acute type 2 myocardial infarction and specific medical treatment is established, responding favorably.

Palavras-chave : myocardial anterior wall infarction; myocardial bridge; angiocardiography.

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