The significance of coronary artery muscle bridging (MB) has been debated since its first angiographic description by Portsmann and colleagues in 1960 (1). The course is usually benign; however, angina, myocardial infarction, sudden death, arrhythmias, and complete heart block have been reported. In this article, we present a case of coronary artery muscle bridging which caused a patient with no angiographic evidence of atherosclerosis to experience Class III angina.
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