Three patients had angiographic appearance of chronic primary coronary artery dissection with features that differed from other patients with this entity studied at autopsy; they were men, ≥40 years of age, had angina pectoris and severe coronary artery disease. The right coronary artery, which was the artery involved with dissection, had only mild atherosclerosis. Further studies are needed to determine the natural history of this angiographic finding.
