1. Multifaceted Presentation of Recurrent Spontaneous Coronary Artery Dissection Angiography and Optical Coherence Tomography Findings

    Multifaceted Presentation of Recurrent Spontaneous Coronary Artery Dissection Angiography and Optical Coherence Tomography Findings

    A 58-year-old woman with a previous history of hypertension, hypercholesterolemia, and cigarette smoking presented with a non–ST-segment–elevation myocardial infarction with transient (nonpersistent) anterior ST-segment–elevation suggesting ischemia on the territory of the left anterior descending coronary artery. The coronary angiogram showed no signs of atherosclerosis but depicted severely tortuous coronary arteries with a focal lumen narrowing in the mid-segment of the left anterior descending coronary artery (Figure 1A). In addition, a diffuse lesion with a double lumen was demonstrated at the mid-segment of the posterior descending coronary artery branch of the right coronary artery (Figure 1B). Moreover, the ...

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