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A 42-year-old woman with acute myocardial infarction
  1. James K Fahey1,2,
  2. Abdul Rahman Ihdayhid1,2,
  3. Anthony John White1,2
  1. 1Monash Cardiovascular Research Centre, Monash University, Clayton, Victoria, Australia
  2. 2Monash Heart, Monash Health, Clayton, Victoria, Australia
  1. Correspondence to Dr Anthony John White, Monash Cardiovascular Research Centre and MonashHeart, Monash Health, Clayton, VIC 3168, Australia; Anthony.White{at}

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Clinical introduction

A 42-year-old woman presented with anterior ST elevation myocardial infarction. Urgent coronary angiography revealed tapering then occlusion of the distal left anterior descending (LAD) coronary artery with no flow in the distal LAD (figure 1A). Balloon angioplasty with a 2.0×8 mm balloon re-established flow into the distal LAD. An angiogram of the right external iliac artery was also performed (figure 1B).

Figure 1

Invasive angiography of the left coronary system (A) and the right external iliac artery (B). The coronary angiogram (A) shows tapering and then occlusion (arrow) of the distal left anterior descending coronary …

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