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Chest Pain in a Young Woman

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1 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 (April 1988) DOI: /S (12) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

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

3 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  , DOI: ( /S (12) ) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

4 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  , DOI: ( /S (12) ) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

5 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  , DOI: ( /S (12) ) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

6 Fig. 5 Diagram of anatomic abnormality of aortic valve. Valve was bicuspid, and a membrane covered the left coronary ostium. Mayo Clinic Proceedings  , DOI: ( /S (12) ) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions

7 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  , DOI: ( /S (12) ) Copyright © 1988 Mayo Foundation for Medical Education and Research Terms and Conditions


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