PMC6899330_01
(a-c) Type 1 spontaneous coronary artery dissection (SCAD) (contrast dye staining of the arterial wall with multiple arterial lumens) in the distal LAD. Increased arterial tortuosity* in all three epicardial vessels including RCA (d). *Coronary artery tortuosity is highly prevalent in patients with spontaneous coronary artery dissection and is associated with recurrence.
CRIC2019-7218480.001.jpg
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fig1
A coronary angiogram performed on day 2 of admission showed type 1 distal left anterior descending (LAD) coronary artery dissection with thrombolysis in antiplatelets and myocardial infarction (TIMI) 3 flow (Figure 1).