54 year old female with atypical chest pain and an “abnormal stress test.”
- Incidence 20-30% in large CCTA series
- Anatomic series: 15-85%
- Angiographic series: 0.5-2.5%
- Usually clinically silent but can result in atypical angina, unstable angina, MI, arrhythmias, and even sudden death
- MB predisposes patients to atherosclerotic lesions proximal to the MB
Zeina AR, Odeh M, Blinder J, Rosenschein U, Barmeir E. AJR Am J Roentgenol: April, 2007 – vol. 188, no. 4, pp. 1069-1073.