case_images: PMC4369976_01
case_images: Electrocardiogram on Day 1.
case_images: omu06501.jpg
case_images: PMC4369976_01_omu06501.jpg
case_images: OMU065F1
case_images: African-American postmenopausal woman presented to the hospital with a 1-h history of mild chest discomfort associated with nausea and diaphoresis. An electrocardiogram showed 2-mm inferoapical ST segment elevations (Fig. 1).
case_images: (A and B) Left anterior oblique cine angiographic view showing a large 'wrap-around' LAD with a long dissection extending from its mid (arrow) to distal segment.
case_images: omu06502.jpg
case_images: PMC4369976_01_omu06502.jpg
case_images: OMU065F2
case_images: She was taken for urgent coronary angiography, which revealed a large 'wrap-around' left anterior descending artery (LAD) with a long dissection extending from its mid to distal vessel (Fig. 2) without any atherosclerotic changes in the right or left coronary arteries.
case_images: Electrocardiogram on Day 6.
case_images: omu06503.jpg
case_images: PMC4369976_01_omu06503.jpg
case_images: OMU065F3
case_images: An electrocardiogram prior to discharge revealed persistent ST elevation in the previously involved leads (Fig. 3), whereas her echocardiogram showed akinesis in the apical region with an ejection fraction of 61%.