SEVERE ANGINA AND STRESS TEST-INDUCED GLOBAL ISCHEMIA WITHOUT OBSTRUCTIVE CORONARY ARTERY DISEASE: THINK COARCTATION!

The presence of angina with remarkably positive treadmill stress echocardiogram (TSE) carries a high specificity for flow-limiting coronary artery disease (CAD). However, angina due to aortic pathology is unusual. A 55 years old male with history of CAD and coronary artery bypass grafting,