Özet

Miyokardiyal köprüleşme nadir görülen bir konjenital koroner anomalidir. Diyagonal arterdeki miyokardiyal köprüleşme ise daha az olarak görülmektedir. Bu yazıda, tipik efor anjinası nedeniyle koroner anjiyografi yapılan ve sol ön inen koroner arterin diyagonal dalında miyokardiyal köprüleşme anomalisi saptanan, miyokard perfüzyon sintigrafisinde lateral bölgede şiddetli iskemi tespit edilen ve başarılı intrakoroner stent uygulaması gerçekleştirilen olgu sunuldu.
Anahtar Kelimeler: Miyokardiyal köprüleşme, İntrakoroner stent

Myocardial Bridging of the Diagonal Branch of the Left Anterior Descending Coronary Artery and Performing Percutaneous Coronary Intervention

Summary

Myocardial bridging is a rare congenital coronary anomaly. Nevertheless, myocardial bridging of diagonal artery is seen asmuchmore rare. In this case, a patient with typically exercise induced angina pectoris whom underwent to coronary angiography and muscular bridge of the diagonal artery of the left anterior descending coronary artery was presented. Since severe ischemia was detected in myocardial perfusion scintigraphy, intracoronary stent implantation at the bridge segment was performed. After the intervention, symptoms of the patient has relieved.
Key Words: Myocardial bridging, Intracoronary stenting