PMC7665934_01
ECG at presentation.
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ST-segment elevation and T wave inversion in Leads I, aVL, and V1-V6. ST-segment depression in II, III, and aVF confirms acute STEMI (Figure 1).
Initial coronary angiogram showing left main coronary aneurysm and stent thrombosis.
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AP caudal view showing left main coronary artery aneurysm.
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This was treated with a size 5 x 24 mm Begraft coronary stent, and there was spontaneous recanalization of the LAD (Figures 3 and 4).
Positioning and deploying the stent in the left main coronary artery.
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This was treated with a size 5 x 24 mm Begraft coronary stent, and there was spontaneous recanalization of the LAD (Figures 3 and 4).
Baseline IVUS shows the aneurysm diameter and length. Healthy ostial and distal end of the left main coronary artery. Maximum diameter at aneurysm 10.6 mm, healthy segment 5.2 mm.
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Final IVUS result with single-layer covered stent with diameter of 5 mm and complete exclusion of the aneurysm.
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AP caudal and spider view showing post left main aneurysm stenting.
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