Idiopathic coronary artery dissection: A rare in vivo diagnosis

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Abstract
A 42-year-old white female, who had an acute myocardial infarction, developed post-infarction angina and underwent coronary angiography seven weeks after the event. Coronary angiogram demonstrated a primary dissection of the left anterior descending artery. To our knowledge this is the sixth such report of a patient with primary dissection of a coronary artery demonstrated by angiogrdphy and the fourth such patient reported to achieve and maintain asymptomatic status without operative intervention.