PMC2892696_01
Electrocardiography showing left-axis deviation with ST elevation, T-wave inversion and Q-waves in leads I, aVL, and V5 to V6, compatible with subacute anterolateral myocardial infarction and a single ectopic beat.
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fig1
Electrocardiography showed left-axis deviation with ST elevation in leads I, aVL, and V5 to V6, compatible with anterolateral wall subacute myocardial infarction (Figure 1).
Transthoracic echocardiogram image showing thrombus sessile (white arrow) on left ventricular apex (LV).
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fig2
Transthoracic echocardiography examination showed normally functioning aortic valve prosthesis with evidence of intraventricular thrombus (Figure 2) and akinesia of the anteroseptal, inferior, and posterior segments of the left ventricle.
Coronary angiograms showing distal occlusion of the left anterior descending coronary artery with a concave endoluminal image strongly suggesting embolic material in two different projections (white arrows), mechanical aortic valve prosthesis (large black arrow) and mitral valve repair (small black arrow).
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fig3
Coronary angiography showed a distal occlusion of the left anterior descending coronary artery with a concave endoluminal image strongly suggesting embolic material (Figures 3(a) and 3(b)).