Tender Endothelium Syndrome: Combination of Hypotension, Bradycardia, Contrast Induced Chest Pain, and Microvascular Angina

Figure 1

This is a selective injection of the left coronary system in the AP Caudal projection, demonstrating a large left main coronary artery free of obstructive narrowing, a mild proximal circumflex stenosis, and very minor disease of both ongoing circumflex and LAD. Retrograde filling of a small calibre LITA graft can be seen.