A 32-year-old man presented to the emergency department with stuttering chest discomfort. Electrocardiography confirmed transient ST-segment elevations in the inferior leads, which rapidly subsided in the following minutes. By coronary angiography, we found a right dominant coronary system and single-vessel coronary artery disease with haziness in the distal segment of the right coronary artery just before the crux and accompanying TIMI (Thrombolysis In Myocardial Infarction) flow grade 3 (Online Video 1). The region of interest in between the 2 vertical lines on the angiogram was scanned by optical coherence tomography (A), which demonstrated intimal thickening in the proximal portion and ...
Read Full Article