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. 2024 Aug 2;6(11):1274–1288. doi: 10.1016/j.cjco.2024.07.014

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© 2024 The Authors

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

PMC Copyright notice

Coronary angiography and subsequent 3-D reconstruction of an abdominal-pelvic CTA performed as part of screening for FMD in a 52-year-old woman with anterior STEMI due to SCAD. (A) Left coronary angiography in a cranial projection with a long segment (between white arrows) of abrupt luminal compression by intramural hematoma affecting the distal left anterior descending artery (type 2 SCAD). (B) FMD (beading) of both main renal arteries (white asterisks) and more distally, FMD (beading) involving both external iliac arteries (between white arrows) was observed. CTA, computed tomography angiography; FMD, fibromuscular dysplasia; SCAD, spontaneous coronary artery dissection; STEMI, ST-elevation myocardial infarction.