PMC4400459_01
Electrocardiography on presentation shows a sinus rhythm of 65 beats/minute and ST elevation in V3, II and III.
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fig1
Electrocardiography showed a sinus rhythm of 65 beats/minute and ST elevation in the precordial leads (Figure 1).
The CAG (A) shows the compression of the LAD coronary artery during the systole resulting in narrowing and (B) performed after the second chest pain attack demonstrating a dissection in the distal left anterior descending coronary artery.
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fig2
Centre for cardiac intervention. Coronary artery angiography (CAG) revealed a transient occlusion of the left anterior descending (LAD) coronary artery, most probably as a result of myocardial bridging (Figure 2A). It disclosed an open LAD with a dissection in the distal part and a double lumen, which was not observed during the first angiography (Figure 2B).