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Year : 2015  |  Volume : 16  |  Issue : 4  |  Page : 144-150

Schwarz type C myocardial bridge unraveled post-thrombus aspiration in a patient with hypertrophic cardiomyopathy

1 Department of Cardiology, CARE Hospital, Bhubaneswar, Bhubaneswar, Odisha, India
2 Department of Cardiology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Satyajit Singh
Department of Cardiology, CARE Hospital, Bhubaneswar, Plot No. 329/1929, Near Municipal Kalyan Mandap, Chandrasekharpur, Bhubaneswar, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1995-705X.172202

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Hypertrophic cardiomyopathy (HCM), a heterogenous disease with diverse pathology and variable clinical course has a high prevalence of myocardial bridging. Despite the high prevalence of myocardial bridging in HCM patients, acute ST-elevation myocardial infarction (STEMI) due to concomitant atherothrombosis proximal to Schwarz type C myocardial bridge unraveled during trans-radial primary percutaneous intervention has rarely been reported in medical literature. Herein, we report a case of Schwarz type C myocardial bridge unmasked postthrombosuction in a patient with HCM presenting with acute STEMI. He had atherothrombosis proximal to the tunneled left anterior descending artery which was successfully stented with drug-eluting stent without the aid of intravascular ultrasound.

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