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Mayr A et al.  
Case Report: Hidden Dissection of the Left Descending Coronary Artery Mimicking Tako-Tsubo Cardiomyopathy

Journal für Kardiologie - Austrian Journal of Cardiology 2012; 19 (9-10): 289-290

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Abbildung 1a-c: 1. (a): Initial ECG showing anterior STEMI; (b): First coronary angiography showing no obstruction/stenosis of the left descending coronary artery (LAD). Right coronary artery and circumflex artery also showed no abnormalities; (c): Global left ventricular function was reduced moderately with anterolateral, apical as well as inferior hypokinesis.

Keywords: angiographycoronary angiographyECGEKGKardiologieSTEMI
Abbildung 2a-c: a): ECG one day after the first coronary angiography showing subacute anterior STEMI; (b): ECG three days after the first coronary angiography showing again significant anterior ST segment elevations; the patient once again developed massive retrosternal chest pain; (c): Second coronary angiography revealed complete occlusion of the proximal LAD due to spontaneous dissection.

Keywords: Angiographiecoronary angiographyECGEKGKardiologieSTEMI
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