Tomasevic, Miloje (57196948758)Miloje (57196948758)TomasevicDikic, Miodrag (25959947200)Miodrag (25959947200)DikicOstojic, Miodrag (34572650500)Miodrag (34572650500)Ostojic2025-06-122025-06-122011https://doi.org/10.2143/AC.66.1.2064974https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952060269&doi=10.2143%2fAC.66.1.2064974&partnerID=40&md5=9e4326d7f9bc55574b00628dcb80006dhttps://remedy.med.bg.ac.rs/handle/123456789/10137In a STEMI setting, stent implantation for a myocardial bridge (MB) with signifi cant systolic compression in the mid LAD, is a challenging issue. The risk of coronary rupture during stent implantation arises from: (i) a thin intima of the bridged artery; (ii) a thin myocardial layer toward the right ventricle; (iii) a smaller LAD diameter in the MB; (iv) high infl ation pressure in the balloon. Perforation with a coronary fi stula resolving spontaneously within several months is one of the possible scenarios. We report a case of a coronary fi stula between mid LAD and right ventricle after MB stenting in a patient with STEMI, with spontaneous angiographic deterioration after several days. Stent graft implantation in case of a coronary fi stula with increasing fl ow is an eff ective therapeutic concept.Myocardial bridge - stenting - acute myocardial infarction