Fractional flow reserve guided stenting of a myocardial bridge

Myocardial bridging (MB) is a common congenital coronary anomaly. The treatment is debated in symptomatic forms. Percutaneous coronary intervention (PCI) could be a possible solution; however, in these cases the major adverse cardiac event rate is high (1). A 52-year-old man presented with chest pain provoked by emotional stress. Laboratory tests and transthoracal echocardiography were normal. Treadmill test was indicated according to Bruce protocol that demonstrated silent ischemia at 125 Watts workload. Beta blocker was uptitrated (bisoprolol 2.5–10 mg daily).