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A 31-year-old man, with a low risk-factor profile for coronary disease, presented with atypical left-sided chest pain. ECGs were normal, however, cardiac Troponin I was elevated at 4.57 (ref <0.04). Invasive coronary angiography demonstrated an abnormality in the mid-left anterior descending artery (yellow arrow, figure 1: right hand panel zoomed image) suggestive of microaneurysm formation. left ventricular (LV) angiography revealed an area of hypokinesis.
Contributors ETM conceived the idea of writing the case report and wrote the initial draft. All three authors contributed to the manuscript and approved the final version.
Competing interests None.
Patient consent Obtained.