Chest Pain in a Young Woman

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Presentation transcript:

Chest Pain in a Young Woman ROGER L. CLICK, M.D., Ph.D., JOHN A. SPITTELL, M.D., FRANCISCO J. PUGA, M.D. Mayo Clinic Proceedings Volume 63, Issue 4, Pages 368-372 (April 1988) DOI: 10.1016/S0025-6196(12)64859-9 Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Electrocardiographic tracings during rest (A) and during exercise (B) in 35-year-old woman with chest pain. Mayo Clinic Proceedings 1988 63, 368-372DOI: (10.1016/S0025-6196(12)64859-9) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Shallow left anterior oblique projection after attempted injection of contrast medium into left coronary ostium (arrowhead) of 35-year-old woman with chest pain. Mayo Clinic Proceedings 1988 63, 368-372DOI: (10.1016/S0025-6196(12)64859-9) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Shallow left anterior oblique projection (A) and right anterior oblique projection (B) of right coronary artery after injection of contrast agent, showing retrograde filling of left coronary system of 35-year-old woman with chest pain. Mayo Clinic Proceedings 1988 63, 368-372DOI: (10.1016/S0025-6196(12)64859-9) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Delayed film, shallow left anterior oblique projection, showing delayed emptying and “blind pouch” in area of left coronary ostium (arrowhead). Mayo Clinic Proceedings 1988 63, 368-372DOI: (10.1016/S0025-6196(12)64859-9) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 5 Diagram of anatomic abnormality of aortic valve. Valve was bicuspid, and a membrane covered the left coronary ostium. Mayo Clinic Proceedings 1988 63, 368-372DOI: (10.1016/S0025-6196(12)64859-9) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 6 Electrocardiographic tracings during rest (A) and during exercise (B) 3 months after surgical correction of occlusion of left coronary ostium in 35-year-old woman. Mayo Clinic Proceedings 1988 63, 368-372DOI: (10.1016/S0025-6196(12)64859-9) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions