Spontaneous Coronary Artery Dissection in a Patient with a Family History of Fatal Ascending Aortic Dissection: Case Report and Discussion of Diseases Causing Both Presentations

Figure 1

(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.

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