You can’t judge a book by its cover: a trivial angiographic image, an optical coherence tomography run and a surprising ending

A 75 year-old man was hospitalized for recent onset of low-threshold effort dyspnoea and moderate reduction of the left ventricular ejection fraction (39%, 2 weeks before it measured 55%) with infero-postero-lateral ipokinesia and severe mitral regurgitation. His medical history included three-vessel coronary artery disease treated by percutaneous coronary intervention (PCI) and …