Atypical presentation and coronary angiogram of a case of vasospastic angina

Vasospastic angina is a rare disease which can present as an acute coronary syndrome emergency. This disease should be thought of in any atypical ECG not following the classic arterial territory involvement in a patient with acute chest pain. Also if there is evidence of long tubular narrowing with normal anatomy of other coronary arteries, then the probability of vasospasm should be kept in mind. Here we present a case of Vasospastic angina at our hospital which has atypical angiographic presentation.