case_images: PMC3705791_01
case_images: Diffusely diseased LAD with a 70% stenosis in the mid third with an occluded OM1.
case_images: CRIM.VASMED2013-706820.001.jpg
case_images: PMC3705791_01_CRIM.VASMED2013-706820.001.jpg
case_images: fig1
case_images: TIMI 0 flow (Figure 1).
case_images: Nonselective injection of RCA.
case_images: CRIM.VASMED2013-706820.002.jpg
case_images: PMC3705791_01_CRIM.VASMED2013-706820.002.jpg
case_images: fig2
case_images: The RCA was anterior in origin and nonselective coronary injection showed a patent stent (Figure 2).
case_images: Crossing the LCX.
case_images: CRIM.VASMED2013-706820.003.jpg
case_images: PMC3705791_01_CRIM.VASMED2013-706820.003.jpg
case_images: fig3
case_images: The wire crossed the proximal subsection of the left circumflex (LCX) with support (Abbott TREK 2.0 mm x 15 mm coronary dilatation catheter) (Figure 3). There was a resultant type B coronary dissection of the mid subsection of the proximal LCX.
case_images: Type B dissection of proximal LCX.
case_images: CRIM.VASMED2013-706820.004.jpg
case_images: PMC3705791_01_CRIM.VASMED2013-706820.004.jpg
case_images: fig4
case_images: A secondary type B coronary dissection was noted in the mid subsection of the mid third of the OM1 (Figure 4).
case_images: Type B dissection of mid OM1.
case_images: CRIM.VASMED2013-706820.005.jpg
case_images: PMC3705791_01_CRIM.VASMED2013-706820.005.jpg
case_images: fig5
case_images: IV Eptifibatide infusion was started to stabilize the dissection plane with a plan to reattempt the CTO in 72 hours (Figure 5).
case_images: Coronary AV fistula (OM1 to coronary sinus).
case_images: CRIM.VASMED2013-706820.006.jpg
case_images: PMC3705791_01_CRIM.VASMED2013-706820.006.jpg
case_images: fig6
case_images: Selective left coronary angiography showed a coronary artery (LCX) to coronary sinus fistula (Figure 6).