PMC6525919_01
Electrocardiogram revealed a sinus rhythm with a 2 mm ST elevation in leads II, III, aVF, V3-V5, "-" and T V3-V5.
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An electrocardiogram upon admission to our clinic revealed a sinus rhythm with a 2 mm ST elevation in leads II, III, aVF, V3-V5, "-" and T V3-V5 (Figure 1).
The first coronary angiography revealed a long segment disease of the LAD artery. Right coronary artery is normal.
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Side branches were absolutely normal as well (Figure 2).
Coronary angiography view 4 days after admission with dissection of the LAD.
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We repeated the coronary angiography upon admission on day 4; the extension of the culprit lesion to the distal segment of the LAD was observed (Figure 3).
Arteriogram with contrast showing fibromuscular dysplasia of the middle right and left renal arteries.
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In the mid and distal portions of the renal arteries, alternating dilatation and constriction (string-of-beads) were observed (Figure 4), confirming a diagnosis of fibromuscular dysplasia (FMD).
The last coronary angiography shows near-normal left coronary artery.
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Repeated coronary angiography revealed absolutely normal coronary arteries (Figure 5).