case_images: PMC4400459_01
case_images: Electrocardiography on presentation shows a sinus rhythm of 65 beats/minute and ST elevation in V3, II and III.
case_images: ndtplussfr158f01_ht.jpg
case_images: PMC4400459_01_ndtplussfr158f01_ht.jpg
case_images: fig1
case_images: Electrocardiography showed a sinus rhythm of 65 beats/minute and ST elevation in the precordial leads (Figure 1).
case_images: The CAG (A) shows the compression of the LAD coronary artery during the systole resulting in narrowing and (B) performed after the second chest pain attack demonstrating a dissection in the distal left anterior descending coronary artery.
case_images: ndtplussfr158f02_ht.jpg
case_images: PMC4400459_01_ndtplussfr158f02_ht.jpg
case_images: fig2
case_images: Centre for cardiac intervention. Coronary artery angiography (CAG) revealed a transient occlusion of the left anterior descending (LAD) coronary artery, most probably as a result of myocardial bridging (Figure 2A). It disclosed an open LAD with a dissection in the distal part and a double lumen, which was not observed during the first angiography (Figure 2B).