El-Am, Edward A.Corban, Michel T.Pollak, Amy W.Lerman, AmirAmmash, Naser M.2020-06-242020-06-242020El-Am, E. A., Corban, M. T., Pollak, A. W., Lerman, A., & Ammash, N. M. (2020). A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction. Frontiers in cardiovascular medicine, 7, 57. https://doi.org/10.3389/fcvm.2020.00057https://hdl.handle.net/1805/2307750 years old female patient with a medical history of hypertension presented to the clinic with chest pain, palpitations, and dyspnea on exertion of 2 years duration. Extensive workup in search of the culprit etiology of her chest pain revealed a challenging combination of an anomalous left anterior descending artery with myocardial bridging and endothelial dysfunction. She was treated medically with long acting nitrates, L-arginine and calcium channel blockers, and remains asymptomatic after 12 months of follow up.en-USAttribution 4.0 InternationalEndothelial dysfunctionVasospasmMyocardial bridgingAnomalous coronary arteryCase reportArticle