PMC4939253_01
Coronary angiogram (left anterior oblique projection) - arrow showing the aortocoronary dissection of the right coronary artery (RCA)
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F1
A second fluoroscopic injection into the right coronary artery demonstrated a 360  dissection of the right coronary artery extending to the coronary cusp with a subtotal occlusion of the artery (Figure 1). 
Transesophageal echocardiogram (long axis) - arrow showing the aortocoronary dissection
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F2
Emergency transthoracic echocardiography in the catheterization laboratory and later perioperative transesophageal echocardiography confirmed the dissection and demonstrated acute akinesis of the diaphragmatic myocardial wall and the interventricular septum with moderate left ventricular dysfunction (Figure 2).
Intraoperative finding - arrow showing the everting aortocoronary dissection
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F3
The operative finding showed a 360  dissection of the right coronary artery with the dissecting flap everting into the aortic lumen (Figure 3).
Intraoperative procedure - drawing showing ligation of the right coronary artery at its origin
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F4
The operative procedure is shown in Figure 4.