PMC8342169_01
Electrocardiogram at presentation: sinus rhythm, STEMI in anterior chest leads, left axis deviation, PVCs in bigeminy pattern.
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ECG showed left axis deviation, and STEMI in the anterior chest leads with premature ventricular complexes (PVCs) in bigeminy pattern (Figure 1).
Electrocardiogram after primary PCI: it showed resolution of STEMI.
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We proceeded with cardiac catheterization using the left Judkins guide catheter through femoral access; the 1st injection of contrast material revealed total occlusion of the left main coronary artery (LMCA) with thrombolysis in myocardial infarction (TIMI) flow "0" (Figure 2).
Cardiac catheterization showed total occlusion of LMCA.
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Successful Recanalization of the Left Coronary Circulation LCS using 0.014 x 180 cm floppy guide wire, subsequently predilation with 2.00 x 20 mm balloon was done followed by deployment of 4.00 x 28 mm everolimus drug-eluting stent (Figure 3).
Left coronary artery after stenting LMCA with restoration of blood flow.
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As soon as the procedure on the left coronary artery was completed, the right coronary artery was examined which showed a dominant artery with significant proximal stenosis, and moderate diffuse stenosis from mid to distal segment (Figure 4).
Cardiac catheterization for right coronary artery, dominant artery and showed proximal significant stenosis, and moderate diffuse stenosis from mid to distal segment.
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ECG showed resolving of ST-elevation and PVCs with a bigeminy pattern (Figure 5).