Abstract
Placement of stiff guidewires through tortuous coronary arteries allows smooth advancement of stents during coronary intervention. However, the straightening of coronary vessels leads to a mechanical alteration and induces vessel wall shortening. The transient effect of such coronary pseudo-stenosis is referred as "accordion phenomenon". This case described the accordion phenomenon after placement of a stiff guidewire through a tortuous right coronary artery leading to acute total occlusion with ST elevation during coronary intervention.
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