The three authors have no known conflict of interests, and all have contributed significantly to the submitted work. No funding was required for the submitted work. There is no additional data.

The images below demonstrate coronary dissection and left ventricular apical thrombus in a 30-year-old, otherwise fit patient presenting with chest pain.

A 30-year-old woman presented to the cardiology outpatient department with a 4-month history of retrosternal chest pain, shortness of breath and intermittent palpitations. The patient described a previous episode of severe chest trauma 3 years earlier, which was associated with severe central chest tightness for which she did not seek medical attention …