Volume : VI, Issue : III, March - 2016

A Young Indian presenting acute ST Elevetion Myocardial Infarction with unfixed obstruction of LAD culprit due to Myocardial Bridging– Case Report.

Dr. Naresh Sen, Dr. Keum Soo Park

Abstract :

A 36–year–old male patient presented one hour after the onset of severe, substernal chest pain at rest. ECG showed ST–segment elevations in leads V1 to V4 that resolved with nitrate, aspirin and beta–blocker therapy. He developed another episode of angina with ST–segment elevations on electrocardiogram despite therapy with aspirin, clopidogrel, low–molecular weight heparin, beta–blocker and nitroglycerin. Emergent catheterization revealed unfixed obstructive coronary artery disease (CAD) with myocardial idging. Myocardial idging (MB) caused a 70 % systolic compression in the 22 mm long middle segment of the left anterior descending artery. A 3.0 x 20 mm drug eluting stent was deployed in the tunneled artery at 12 atm. A repeat cath showed in–stent restenosis which was treated with a 3 x 12 mm Cutting Balloon at a maximal inflation pressure of 12 atm. Brachytherapy was performed using a 60 mm BetaCath device to deliver 23 Gy over 5 minutes. The patient remains asymptomatic at 2–year follow–up

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Naresh Sen, Dr. Keum Soo Park A Young Indian presenting acute ST Elevetion Myocardial Infarction with unfixed obstruction of LAD culprit due to Myocardial Bridging� Case Report. Indian Journal of Applied Research, Vol.6, Issue : 3 March 2016

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