Patient 2
48-year-old female with a history of CAD (PCI and stents 12 yrs prior),
diabetes mellitus, hyperlipidemia, and statin intolerance presented with
dyspnea and chest pain. Nuclear stress test was positive and cardiac
catheterization demonstrated multivessel CAD. The entire the RA was
noted to have a chronic dissection (Figure 2 ). And it was sent
to pathology for histologic examination. Findings were significant for a
portion of the lumen occluded by fibrosis and recanalization
(Figure 3 ).