PMC10077973_01
Chest radiograph at emergency department upon patient arrival. The radiograph showed clear lung fields.
mdcvj-19-1-1191-g1.jpg
PMC10077973_01_mdcvj-19-1-1191-g1.jpg
F1
Chest radiography indicated no evidence of congestion (Figure 1).
Coronary angiography. The angiogram showed multiple stenoses in (A) left coronary system and (B) proximal total occlusion of the right coronary artery, which (C) successfully restored post stenting.
mdcvj-19-1-1191-g2.jpg
PMC10077973_01_mdcvj-19-1-1191-g2.jpg
F2
The flow was restored following balloon angioplasty and the placement of a 3.0-mm x 1.5-mm sirolimus-eluting coronary stent (TIMI grade III; Figure 2).
Emergency transthoracic echocardiogram. There was a 2-cm flap-like opening indicating patent foramen ovale.
mdcvj-19-1-1191-g3.jpg
PMC10077973_01_mdcvj-19-1-1191-g3.jpg
F3
A right-to-left shunt was observed and positively confirmed with a bubble test (Figure 3).