Amico Mattia A, Casini Matteo, Costanzo Egidio N, Moroni Mario, Carrabba Nazario
Cardio-thoraco-vascular Department, University Hospital Careggi, Largo Brambilla 3, 50134 Florence, Italy.
Nuclear Medicine Unit, Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Careggi University Hospital, Italy.
J Saudi Heart Assoc. 2025 Jun 10;37(3):2. doi: 10.37616/2212-5043.1437. eCollection 2025.
Myocardial bridging (MB) is a congenital coronary anomaly in which a segment of a coronary artery runs intramyocardially. We present the case of a 38-year-old male with myocardial bridging in the mid-left anterior descending artery who developed exercise-induced angina. This case underscores the importance of recognizing MB as a cause of ischemia that should not be overlooked in the diagnostic workup of patients with angina, especially in younger individuals. A comprehensive diagnostic approach, including multimodality imaging, is essential to uncover the pathology. A tailored pharmacological strategy is recommended. Long-term clinical follow-up is crucial for optimizing symptom management and reducing complications.
心肌桥（MB）是一种先天性冠状动脉异常，其中一段冠状动脉走行于心肌内。我们报告一例38岁男性，左前降支中段存在心肌桥，出现运动诱发型心绞痛。该病例强调了认识到心肌桥是缺血原因的重要性，在心绞痛患者的诊断检查中不应被忽视，尤其是在年轻个体中。包括多模态成像在内的综合诊断方法对于揭示病理状况至关重要。建议采用量身定制的药物治疗策略。长期临床随访对于优化症状管理和减少并发症至关重要。
