Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 9, Number 6, June 2018, pages 164-169

“Too Young to Have a Broken Heart”: Spontaneous Coronary Artery Dissection Causing ST-Elevation Myocardial Infarction in a Young Adult: A Case Report


Figure 1.
Figure 1. (a) Initial ECG showing regular sinus rhythm normal axis, anterolateral wall ST-elevation myocardial infarction. (b) Repeat ECG showing persistent ST-elevation myocardial infarction.
Figure 2.
Figure 2. Right coronary angiogram (a) and left circumflex (b) angiogram showing good flow.
Figure 3.
Figure 3. (a) Total occlusion at the mid left anterior descending artery. (b) Stenting of the mid left anterior descending artery (left) and angiogram showing failure to restore flow (right).
Figure 4.
Figure 4. (a) Angiogram showing the LAD dissection (arrows). (b) Stenting of the distal LAD and angiogram showing good flow with no residual stenosis.