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Figure 1
LAO caudal view of selective left coronary angiography. Critical stenosis of ostial and mid LAD, significant stenosis of proximal LCX, chronic total occlusion of distal LCX. Retrograde filling of distal RCA through collaterals from LAD (arrow). LAO view: complete thrombotic occlusion of proximal RCA.
Figure 2
Type D RCA dissection extending to ascending aorta, consistent with class III Dunning aorto-coronary dissection.
Figure 3A
Stenting the origin of the dissection.
Figure 3B
Deployment of the third stent through “buddy wire” technique.
Figure 4
LAO cranial view of selective RCA angiography post-stenting.
Figure 5
Computed tomography with contrast in a transverse section at RCA ostium level shows closed intimal flap, without evidence of false lumen.