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British Journal of Radiology (2008) 81, e141-e144
© 2008 British Institute of Radiology
doi: 10.1259/bjr/70124548

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Case report

Acute myocardial infarction in a young woman with normal coronary arteries and myocardial bridging

A R ZEINA, MD1, A SHEFER, MD2, D SHARIF, MD2, U ROSENSCHEIN, MD2 and E BARMEIR, MD1

1 Department of Radiology and the MAR Imaging Institute, 2 Department of Cardiology, Bnai-Zion Medical Center, Faculty of Medicine, Technion, Haifa, Israel

Correspondence: Abdel-Rauf Zeina, MD, Department of Radiology, Bnai Zion Medical Center, 47 Golomb Street, POB 4940, Haifa 31048, Israel. E-mail: raufzeina3{at}hotmail.com

Myocardial bridging (MB) is defined as an intramural segment of a coronary artery that normally courses epicardially. MB is usually a benign condition; however, some cases resulting in myocardial ischaemia, infarction and sudden death have been reported. We describe a case of myocardial infarction related to MB in a young healthy woman with no risk factors for coronary artery disease. The bridge was demonstrated in detail by coronary CT angiography using multiplanar reconstruction and three-dimensional volume-rendered techniques.







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