PMC4363571_01
ECG on admission showing anterolateral ST elevation.
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fig1
An ECG performed at the referring hospital revealed ST-segment elevation V1-V6 consistent with an anterolateral STEMI and he was promptly transferred to our cardiac care unit (Figure 1).
Preintervention angiographic image showing extensive LAD thrombosis. LAD: left anterior descending coronary artery; LCx: left circumflex coronary artery.
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Coronary angiography revealed extensive, nonocclusive thrombus extending from proximal to mid left anterior descending (LAD) coronary artery with no significant atherosclerosis in this or other vessels (Figure 2).
Postintervention angiographic image showing plaque prolapse. LAD: left anterior descending coronary artery; LCx: left circumflex coronary artery.
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fig3
Follow-up angiography after intracoronary nitroglycerin revealed TIMI II flow and mild plaque and/or thrombus prolapse through the distal stent (Figure 3).