1. You can’t judge a book by its cover: a trivial angiographic image, an optical coherence tomography run and a surprising ending

    You can’t judge a book by its cover: a trivial angiographic image, an optical coherence tomography run and a surprising ending

    A 75 year-old man was hospitalized for recent onset of low-threshold effort dyspnoea and moderate reduction of the left ventricular ejection fraction (39%, 2 weeks before it measured 55%) with infero-postero-lateral ipokinesia and severe mitral regurgitation. His medical history included three-vessel coronary artery disease treated by percutaneous coronary intervention (PCI) and implantation of drug eluting stents (DES) on the mid left anterior descending coronary artery, the mid left circumflex coronary artery and the distal right coronary artery (RCA).

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