Fig. 1: Angiographic findings.

• Multivessel dissection of circumflex (A—white arrows) and right coronary (B—white arrows). • Further angiography was complicated by an extensive iatrogenic dissection/perforation shortly after catheter intubation of the coronary ostium and resulted in a spiral dissection flap contrast extravasation (C). • The right coronary artery was treated with a covered stent. The circumflex was managed conservatively. • Post-procedure, she also developed a right iliac artery dissection.