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Coronary artery dissection and left ventricular thrombus
  1. Mark Drury-Smith,
  2. Richard Horton,
  3. Saib Khogali
  1. Heart & Lung Centre, New Cross Hospital, Wolverhampton, UK
  1. Correspondence to Dr Saib Khogali, Consultant Cardiologist, Heart & Lung Centre, New Cross Hospital; and Honorary Senior Clinical Lecturer, University of Birmingham, Royal Wolverhampton NHS Trust, Wolverhampton WV10 0QP, UK; s.khogali{at}

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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 …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.