PMC9893432_01
12 derivations ECG showing a ST-elevation myocardial infarction in the anterior extended leads with Q waves of necrosis.
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F1
The ECG revealed an ST-segment elevation with a convex appearance in the extended anterior leads associated with Q waves of necrosis (Fig. 1).
(A) Angiographic image showing a lesion of the left descending coronary artery suggestive of a spontaneous coronary artery dissection type 2A; there is no atheromatous lesion. (B) The circumflex coronary artery is free of lesion. (C) The right coronary artery is free of lesion. Lesion of the left descending coronary artery suggestive of a spontaneous coronary artery dissection type 2A.
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F2
The patient was admitted at the interventional catheterization room and the coronary angiography performed via the femoral artery showed a spontaneous dissection of the left descending artery coronary, with no atheromatous lesion (Fig. 2).
Angiographic image showing a reperfusion of the left descending coronary artery after medical care confirming the hypothesis of a spontaneous coronary artery dissection.
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F3
She was evaluated 6 weeks later with favorable results (Fig. 3).