PMC6811972_01
Admission electrocardiogram (ECG) on the left with a normal sinus rhythm and ECG on the right taken during the hospital stay showing atrial fibrillation with a rapid ventricular response.
CRIC2019-9347198.001.jpg
PMC6811972_01_CRIC2019-9347198.001.jpg
fig1
An electrocardiogram (ECG) showed a normal sinus rhythm with an old apical infarct, and a transthoracic echocardiogram (TTE) revealed an ejection fraction of 15-20% with grade two diastolic dysfunction and "possible" severe aortic valve stenosis (Figure 1).
Left heart catheterization showing three focal transluminal and translucent areas in the ostial, mid, and distal circumflex artery that was mobile and hazy appearing:concerning for emboli.
CRIC2019-9347198.002.jpg
PMC6811972_01_CRIC2019-9347198.002.jpg
fig2
The coronary angiogram revealed three focal transluminal and translucent areas in the ostial, mid, and distal circumflex artery consistent with coronary emboli (Figure 2).