Symptomatic Myocardial Bridging Presenting as Wellens Pattern and Successfully Treated with Surgery
Year: 2025
Type: article
Study design: Case Report
Abstract: Myocardial bridging is an uncommon congenital anomaly that can have detrimental cardiac consequences when undiagnosed and untreated. Myocardial bridging occurs when the epicardial coronary artery tunneled through the myocardium. Despite it is presence since birth, it may remain asymptomatic and clinically manifest later, in the third to fourth decades of life. Wellen’s patterns are an unusual presentations of myocardial bridging, and there are only a few case reports exist in the English literature. We report the case of 44-year-old male who presented with a 1-week history of exertional chest pain. The electrocardiography showed a symmetrically deep T-wave inversion from V2 to V6. Emergent coronary angiography showed myocardial bridging involving the left anterior descending (LAD) artery and proximal portion of the first diagonal branch with severe luminal compression up to 100% during systole. The patient successfully underwent cardiac surgery, in which the left internal mammary artery was grafted to the LAD and D1.
Source: Annals of Clinical Cardiology
Authors: Mohammad Batrawi, Baraa M. M. Sharawi, Sajed Y. Aljazzar, Ahmed K. Hamed, Nizar Awwad, Souhad Yousef
Language: English
Topic: Coronary Artery Anomalies
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7108082301