PMC6637689_01
ECG findings: (a and b) ST elevations in leads I and aVL on admission. (c and d) After the procedure without elevations or significant depressions.
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fig1
Electrocardiogram (ECG) on presentation demonstrated ST elevations in leads I and aVL and ST depressions in leads II, III, aVF, V5, and V6 (Figures 1(a) and 1(b)).
Angiographic findings: (a) RAO 40  view illustrates the left coronary artery with a 100% occlusive lesion in the distal LMCA and proximal LAD. (b) Cranial 30  view shows culprit vessel postintervention.
CRIC2019-2018268.002.jpg
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fig2
The culprit lesion was a 100% occlusion in the distal LMCA and proximal left ascending artery (LAD) with grade 0 TIMI flow (Figure 2(a)). TIMI postintervention without residual stenosis or complications (Figure 2(b)).