case_images: PMC2990100_01
case_images: 12-lead electrocardiogram demonstrating significant ST-depression in the posterior leads during exercise.
case_images: IJVM2010-207479.001.jpg
case_images: PMC2990100_01_IJVM2010-207479.001.jpg
case_images: fig1
case_images: As symptoms increased in intensity and frequency, another stress test in January 2009 at our institution revealed exercise induced ST-depression in leads V4-V6 accompanied by typical anginal symptoms (Figure 1).
case_images: Left coronary artery (RAO 31, caudal 0,4).
case_images: IJVM2010-207479.002.jpg
case_images: PMC2990100_01_IJVM2010-207479.002.jpg
case_images: fig2
case_images: A second cardiac catheterization demonstrated a mild stenosis in the mid portion of the left anterior descending coronary artery (LAD), all other coronary arteries were without visible stenosis (Figures 2 and 3).
case_images: Right coronary artery (LAO 53, caudal 0,3).
case_images: IJVM2010-207479.003.jpg
case_images: PMC2990100_01_IJVM2010-207479.003.jpg
case_images: fig3
case_images: A second cardiac catheterization demonstrated a mild stenosis in the mid portion of the left anterior descending coronary artery (LAD), all other coronary arteries were without visible stenosis (Figures 2 and 3).
case_images: Spontaneous occlusion of the left anterior descending coronary artery (LAO 35, cranial 18) accompanied by ST-segment elevation.
case_images: IJVM2010-207479.004.jpg
case_images: PMC2990100_01_IJVM2010-207479.004.jpg
case_images: fig4
case_images: The LAD was found occluded beginning at the stenotic segment of the mid LAD (Figure 4).
case_images: Resolution of spasm following intracoronary nitroglycerine (LAO 35, cranial 18).
case_images: IJVM2010-207479.005.jpg
case_images: PMC2990100_01_IJVM2010-207479.005.jpg
case_images: fig5
case_images: All symptoms and the spasm resolved spontaneously (Figure 5).
case_images: Occlusion of the left anterior descending coronary artery following intracoronary acethylcholine infusion (LAO 35, cranial 18) accompanied by ST-segment depression and T-wave inversion.
case_images: IJVM2010-207479.006.jpg
case_images: PMC2990100_01_IJVM2010-207479.006.jpg
case_images: fig6