Isolated left ventricular myocardial non-compaction coexists with myocardial coronary artery bridge as a cause of ischemic ECG changes.

To the best of our knowledge this case is the first case of INVM presented with typical angina and ischemic ECG findings without atherosclerotic narrowing but a myocardial bridge in the midportion of the left anterior descending artery documented with coronary angiography.