PMC7083133_01
Normal sinus rhythm with an old anterior and inferolateral wall myocardial infarct.
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fig1
In the context of substernal chest pain, the patient initially received an electrocardiogram that showed normal sinus rhythm with old anterior and inferior lateral wall myocardial infarction (Figure 1).
LAD with a normal caliber type 3 tortuous vessel and distal 80% long dissected section with normal apical vessel.
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fig2
She was brought for an emergent coronary catheterization, for ongoing ischemic symptoms, and was found to have multivessel SCAD involving the LAD, ramus, and RCA (Figures 2-4).
Ramus with a normal caliber tortuous vessel and distal 80% long dissected section.
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fig3
She was brought for an emergent coronary catheterization, for ongoing ischemic symptoms, and was found to have multivessel SCAD involving the LAD, ramus, and RCA (Figures 2-4).
RCA with a normal caliber dominant vessel, early bifurcation, and extreme tortuosity distal area of dissection.
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fig4
She was brought for an emergent coronary catheterization, for ongoing ischemic symptoms, and was found to have multivessel SCAD involving the LAD, ramus, and RCA (Figures 2-4).
LAD with normal caliber type 3 vessel with 20% midstenosis and distal nearly completely healed SCAD long segment.
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fig5
RCA, and ramus (Figures 5-7). Repeat electrocardiogram two weeks after PCI showed no acute ST-T changes.
RCA with normal caliber codominant vessel with tortuosity.
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fig6
RCA, and ramus (Figures 5-7). Repeat electrocardiogram two weeks after PCI showed no acute ST-T changes.
Ramus with normal caliber vessel with healed distal SCAD segments.
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fig7
RCA, and ramus (Figures 5-7). Repeat electrocardiogram two weeks after PCI showed no acute ST-T changes.