A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction | Zendy

Edward ElAm | Zendy; Michel Corban | Zendy; Amy W. Pollak | Zendy; Amir Lerman | Zendy; Naser M. Ammash | Zendy

Open Access

A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction

Author(s) -

Edward ElAm,

Michel Corban,

Amy W. Pollak,

Amir Lerman,

Naser M. Ammash

Publication year - 2020

Publication title -

frontiers in cardiovascular medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.711

H-Index - 30

ISSN - 2297-055X

DOI - 10.3389/fcvm.2020.00057

Subject(s) - medicine , palpitations , culprit , chest pain , asymptomatic , cardiology , myocardial bridging , endothelial dysfunction , etiology , exertion , angina , artery , coronary angiography , myocardial infarction

50 years old female patient with a medical history of hypertension presented to the clinic with chest pain, palpitations, and dyspnea on exertion of 2 years duration. Extensive workup in search of the culprit etiology of her chest pain revealed a challenging combination of an anomalous left anterior descending artery with myocardial bridging and endothelial dysfunction. She was treated medically with long acting nitrates, L-arginine and calcium channel blockers, and remains asymptomatic after 12 months of follow up.

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