Authors

M.A. Amico, Cardio-thoraco-vascular Department, University Hospital Careggi, Largo Brambilla 3, 50134 Florence, Italy.
M. Casini, Cardio-thoraco-vascular Department, University Hospital Careggi, Largo Brambilla 3, 50134 Florence, Italy.
E.N. Costanzo, Nuclear Medicine Unit, Department of Experimental and Clinical Biomedical Sciences "Mario Serio," University of Florence, Careggi University Hospital, Italy
M. Moroni, Department of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134 Florence, Italy.
N. Carrabba, Cardio-thoraco-vascular Department, University Hospital Careggi, Largo Brambilla 3, 50134 Florence, Italy.Follow

Unmasking Myocardial Bridging: Multimodal Imaging and tailored medical approach in Exercise-Induced Angina – A Case Report

Abstract

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 exerciseinduced 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.

Recommended Citation

Amico, M.A.; Casini, M.; Costanzo, E.N.; Moroni, M.; and Carrabba, N. (2025) "Unmasking Myocardial Bridging: Multimodal Imaging and tailored medical approach in Exercise-Induced Angina – A Case Report," Journal of the Saudi Heart Association: Vol. 37 : Iss. 3 , Article 2.
Available at: https://doi.org/10.37616/2212-5043.1437

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