FIGURE LEGENDS
Figure 1: Different views of the spontaneous coronary artery dissection during PCI. Elongated uniform stenosis initiating from the distal part of the left main and extending mainly in the LAD and first diagonal as well as in the ramus intermedius.
Figure 2: (A) Retrograde extension of the dissection into the proximal left main coronary artery until its origin in the aorta. A stent has already been positioned into the ramus intermedius.(B) Final angiogram after stenting of the LAD, D1 and LM to its origin, with no residual stenosis.
Figure 3: CT angiography imaging showing (A) the intramural hematoma (red arrow) just proximally to the origin of innominate artery and (B) the LM stent which protrudes into the aortic lumen.
Figure 4: Intraoperative images (A) Asc. Ao intramural haematoma, (B) LM stent protruding into the aortic lumen
Figure 5: 8-month f-up CTA demonstrating (A) no residual aortic dissection and (B) patent coronary stents.