Unmasking Myocardial Bridging: Multimodal Imaging and Tailored Medical Approach in Exercise-induced Angina - A Case Report

Mattia A Amico; Matteo Casini; Egidio N Costanzo; Mario Moroni; Nazario Carrabba

doi:10.37616/2212-5043.1437

Unmasking Myocardial Bridging: Multimodal Imaging and Tailored Medical Approach in Exercise-induced Angina - A Case Report

J Saudi Heart Assoc. 2025 Jun 10;37(3):2. doi: 10.37616/2212-5043.1437. eCollection 2025.

Authors

Mattia A Amico¹, Matteo Casini¹, Egidio N Costanzo², Mario Moroni³, Nazario Carrabba¹

Affiliations

¹ Cardio-thoraco-vascular Department, University Hospital Careggi, Largo Brambilla 3, 50134 Florence, Italy.
² Nuclear Medicine Unit, Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Careggi University Hospital, Italy.
³ Department of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134 Florence, Italy.

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 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.

Keywords: Angina; Ischemia; Multimodality imaging; Myocardial bridging; Pharmacological strategy.

Publication types

Case Reports