Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 12, Number 12, December 2021, pages 495-498

Double Trouble - Spontaneous Coronary Artery Dissection of the Left Anterior Descending and Posterior Descending Arteries in a Right Dominant Circuit: A Case Report


Figure 1.
Figure 1. Transradial engagement of the coronary arteries, representing the left and right coronary circuits, respectively. (a) is significant for an otherwise patent left main coronary artery. The mid-portion of the left anterior descending artery, as illustrated by the blue arrow, highlights the segment that is concerning for coronary artery dissection. Similarly, (b) represents the right coronary circuit with a red arrow highlighting the mid/distal PDA with signs suggestive of SCAD. SCAD: spontaneous coronary artery dissection; PDA: posterior descending artery.