Case Report

Idiopathic, Serial Coronary Vessels Dissection in a Young Woman with Psychological Stress: A Case Report and Review of the Literature

Figure 1

Angiographic projections (a) (35°LAO and 23°CRA):  dissection of the left anterior descending (LAD) artery, involving the origin and proximal tract of the first diagonal branch (FDB) (red arrows); (b) (9°RAO and 39°CRA): progression of the dissection to the distal tract of the LAD and in the FDB, and proximal occlusion of the left circumflex artery (LCX) (red arrow); (c) (25°RAO  and 23°CAU): angiographic result after POBA in the LCX; (d) (35°LAO  and 23°CRA): distal occlusion of the LAD (red arrow) and patency of the LCX in spite of the presence of a persistent line of dissection (violet arrow).
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(a)
498465.fig.001b
(b)
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(c)
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(d)