Drug eluting stent implantation for the treatment of symptomatic myocardial bridging is associated with favorable peri-procedural results and short-term outcomes

Myocardial Bridging in an Adult Patient with d-Transposition of the Great Arteries

“…The percutaneous approach was initially applied with success by Laifer and Weiner, 11 and a few years later by Stables et al 12 . and Doshi et al., 13 however, an earlier and higher in‐stent restenosis rate has limited the use of coronary stents for myocardial bridging 5,12 …”

“…6 Patients who have refractory symptoms despite being on medical therapy warrant alternate therapeutic approaches comprising transluminal coronary artery angioplasty with stent implantation or surgery. The percutaneous approach was initially applied with success by Laifer and Weiner, 11 and a few years later by Stables et al 12 and Doshi et al, 13 however, an earlier and higher in-stent restenosis rate has limited the use of coronary stents for myocardial bridging. 5,12 Another alternative treatment to relieve compression on the vessel is surgical myectomy, which may improve blood flow and reduce myocardial ischemia, however, complication rates are higher than other interventions.…”

“…5,12 Another alternative treatment to relieve compression on the vessel is surgical myectomy, which may improve blood flow and reduce myocardial ischemia, however, complication rates are higher than other interventions. 13 Various surgical techniques have been employed in patients with refractory symptoms, including coronary artery bypass surgery (either alone or combined with muscle resection) or supra-arterial muscle resection alone. 5,8 Minimally invasive technique of coronary artery bypass grafting has also been attempted; however, long-term results are still unknown.…”

Myocardial bridging on coronary CTA: An innocent bystander or a culprit in myocardial infarction?

“…Coronary stenting of the tunneled coronary artery has been proposed as a treatment strategy for patients with marked systolic compression. 79 A few studies have suggested the FFR may be useful in judging the need for and guiding percutaneous coronary intervention. [81][82] The use of stenting, however, is controversial, because of reported peri-procedural complications, including coronary perforation, 83 and high reported rates of in-stent restenosis that occur after bare metal stent deployment (45% within 7 weeks) by neointimal proliferation and increase of extrinsic stent compressive forces from the myocardial bridge.…”

Transient myocardial bridging of the left anterior descending coronary artery in acute inferior myocardial infarction

“…But myocardial bridging may be associated with myocardial ischemia and infarction [6][7][8][9][10][11][12]. Stent implantation, myotomy, coronary artery bypass surgery are the treatment options for myocardial bridging [14][15][16]. We observed marked myocardial bridging of the LAD in patients with acute inferior myocardial infarction (MI) only in the acute phase of MI.…”