A 26-year-old female with moyamoya disease was presented with a complaint of right-sided chest pain and numbness radiating to her right arm, mimicking symptoms of a previous non-ST-elevation myocardial infarction. Medical history Six months before, the patient underwent coronary angiography notable for a critical right distal coronary artery lesion. She underwent s uccessful percutaneous intervention with two drug-eluting stents to the distal right coronary artery.
She had multiple other comorbidities such as coronary artery disease, restrictive cardiomyopathy, hyperlipidemia, chronic kidney disease stage IV, anemia of chronic disease, recurrent pneumonia, immunoglobulin deficiency, osteoporosis, and a history of cerebral vascular disease. In the months leading up to this admission, she suffered multiple noncardiac complications, including symptomatic anemia, pneumonia with hemoptysis…
