What lies behind this deceptive circumflex narrowing?

Image in interventional cardiovascular medicine: what is displayed on this image? ... And do not hesitate to comment on how you would treat this case!

A 63-year-old woman presented with NSTEMI. Angiography showed a very tortuous LCx with long, smooth diffuse narrowing. OCT was performed to clarify the mechanism behind this unusual appearance.

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Authors

Papapanagiotou A. R.¹, Karanasos A.¹, Tsigkas G.¹, Moulias A.¹, Papafaklis M.¹, Boliaris G.¹, Kampouri M.¹, Zelenitsas V.¹, Tsimara E.¹, Davlouros P.¹

1. General University Hospital of Patras, Rio, GREECE