case_images: PMC6525919_01
case_images: Electrocardiogram revealed a sinus rhythm with a 2 mm ST elevation in leads II, III, aVF, V3-V5, "-" and T V3-V5.
case_images: CRIC2019-3051616.001.jpg
case_images: PMC6525919_01_CRIC2019-3051616.001.jpg
case_images: fig1
case_images: An electrocardiogram upon admission to our clinic revealed a sinus rhythm with a 2 mm ST elevation in leads II, III, aVF, V3-V5, "-" and T V3-V5 (Figure 1).
case_images: The first coronary angiography revealed a long segment disease of the LAD artery. Right coronary artery is normal.
case_images: CRIC2019-3051616.002.jpg
case_images: PMC6525919_01_CRIC2019-3051616.002.jpg
case_images: fig2
case_images: Side branches were absolutely normal as well (Figure 2).
case_images: Coronary angiography view 4 days after admission with dissection of the LAD.
case_images: CRIC2019-3051616.003.jpg
case_images: PMC6525919_01_CRIC2019-3051616.003.jpg
case_images: fig3
case_images: We repeated the coronary angiography upon admission on day 4; the extension of the culprit lesion to the distal segment of the LAD was observed (Figure 3).
case_images: Arteriogram with contrast showing fibromuscular dysplasia of the middle right and left renal arteries.
case_images: CRIC2019-3051616.004.jpg
case_images: PMC6525919_01_CRIC2019-3051616.004.jpg
case_images: fig4
case_images: In the mid and distal portions of the renal arteries, alternating dilatation and constriction (string-of-beads) were observed (Figure 4), confirming a diagnosis of fibromuscular dysplasia (FMD).
case_images: The last coronary angiography shows near-normal left coronary artery.
case_images: CRIC2019-3051616.005.jpg
case_images: PMC6525919_01_CRIC2019-3051616.005.jpg
case_images: fig5
case_images: Repeated coronary angiography revealed absolutely normal coronary arteries (Figure 5).