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 ).