50 yo man, atypical chest pain, positive exercise stress test.
CTCA was performed.
What’s wrong with LAD?
A – Deep intramyocardial bridge
B – Coronary Fistula
C – Severely stenotic soft plaque
D – Hypoplastic coronary artery disease
Right answer is A: Deep intramyocardial bridge
The mid-segment of the LAD is the most common location of myocardial bridging. Thanks to a detailed anatomical assessment of the coronary lumen, vessel wall, and myocardial wall CTCA allows accurate identification and evaluation of the myocardial bridging features.
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