Etiology of Acute Coronary Syndrome in a Young Woman: Can Intracoronary Imaging Help?

A 27-year-old woman presented with severe chest pain and was diagnosed with acute coronary syndrome. Coronary angiography demonstrated coronary artery tortuosity and severe coronary artery stenoses involving the ostialproximal and mid-vessel locations in the left anterior descending artery. This case illustrates how intracoronary imaging defined the etiology of her presentation.