Myocardial Bridge Stenting Complicated by Coronary Artery Perforation and MidLAD-Right Ventricle Fistula Formation in NSTEMI Patient

Myocardial Bridge Stenting Complicated by Coronary Artery Perforation and MidLAD-Right Ventricle Fistula Formation in NSTEMI Patient

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We report a case of a patient who presented with non ST-elevation myocardial infarction and coronary angiography showing a long myocardial bridge (MB) of the left anterior descending artery (LAD) with a fixed significant stenosis at the entry point of the MB.The lesion was treated with a semi-compliant balloon and drug-eluted stent (DES).After the stent placement, dodge charger carbon fiber spoiler a large arterial perforation with fistula to right ventricle was observed.There was no hemodynamic instability due to the fistula progression during the procedure and the perforation point was successfully closed with a stent-graft.

Additionally, we provide a short review of diagnostic and therapeutic approach to MB stenting malibu relaxer and reports of cases with coronary artery perforation after stenting of MB.