case_images: PMC7083133_01
case_images: Normal sinus rhythm with an old anterior and inferolateral wall myocardial infarct.
case_images: CRIC2020-8468730.001.jpg
case_images: PMC7083133_01_CRIC2020-8468730.001.jpg
case_images: fig1
case_images: In the context of substernal chest pain, the patient initially received an electrocardiogram that showed normal sinus rhythm with old anterior and inferior lateral wall myocardial infarction (Figure 1).
case_images: LAD with a normal caliber type 3 tortuous vessel and distal 80% long dissected section with normal apical vessel.
case_images: CRIC2020-8468730.002.jpg
case_images: PMC7083133_01_CRIC2020-8468730.002.jpg
case_images: fig2
case_images: She was brought for an emergent coronary catheterization, for ongoing ischemic symptoms, and was found to have multivessel SCAD involving the LAD, ramus, and RCA (Figures 2-4).
case_images: Ramus with a normal caliber tortuous vessel and distal 80% long dissected section.
case_images: CRIC2020-8468730.003.jpg
case_images: PMC7083133_01_CRIC2020-8468730.003.jpg
case_images: fig3
case_images: She was brought for an emergent coronary catheterization, for ongoing ischemic symptoms, and was found to have multivessel SCAD involving the LAD, ramus, and RCA (Figures 2-4).
case_images: RCA with a normal caliber dominant vessel, early bifurcation, and extreme tortuosity distal area of dissection.
case_images: CRIC2020-8468730.004.jpg
case_images: PMC7083133_01_CRIC2020-8468730.004.jpg
case_images: fig4
case_images: She was brought for an emergent coronary catheterization, for ongoing ischemic symptoms, and was found to have multivessel SCAD involving the LAD, ramus, and RCA (Figures 2-4).
case_images: LAD with normal caliber type 3 vessel with 20% midstenosis and distal nearly completely healed SCAD long segment.
case_images: CRIC2020-8468730.005.jpg
case_images: PMC7083133_01_CRIC2020-8468730.005.jpg
case_images: fig5
case_images: RCA, and ramus (Figures 5-7). Repeat electrocardiogram two weeks after PCI showed no acute ST-T changes.
case_images: RCA with normal caliber codominant vessel with tortuosity.
case_images: CRIC2020-8468730.006.jpg
case_images: PMC7083133_01_CRIC2020-8468730.006.jpg
case_images: fig6
case_images: RCA, and ramus (Figures 5-7). Repeat electrocardiogram two weeks after PCI showed no acute ST-T changes.
case_images: Ramus with normal caliber vessel with healed distal SCAD segments.
case_images: CRIC2020-8468730.007.jpg
case_images: PMC7083133_01_CRIC2020-8468730.007.jpg
case_images: fig7
case_images: RCA, and ramus (Figures 5-7). Repeat electrocardiogram two weeks after PCI showed no acute ST-T changes.