PMC5906760_01
Resting 12-lead electrocardiogram (EKG) showing ST elevation in the anterior leads V2, V3 and V4.
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The initial electrocardiogram (EKG) was significant for ST-segment elevations in the anterior leads (Figure 1).
Coronary angiogram showing coronary artery dissection that starts at the origin of Left Anterior descending artery (LAD) (See the star) and extends down to involve proximal and Mid LAD (See the white arrows).
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Emergent coronary angiography revealed total occlusion of the left anterior descending artery at its origin (LAD) with an evidence of spontaneous dissection as the cause of the occlusion (Figures 2 and 3).
Coronary angiogram showing occlusion of the proximal branch of the Left anterior descending artery (LAD) (See the white arrow) and an evidence of proximal and Mid LAD dissection (See the black arrows).
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Emergent coronary angiography revealed total occlusion of the left anterior descending artery at its origin (LAD) with an evidence of spontaneous dissection as the cause of the occlusion (Figures 2 and 3).
Coronary angiogram post percutaneous coronary angioplasty and placement of drug-eluting stent to the left anterior descending artery (See white arrows).
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The LAD occlusion was successfully treated with primary percutaneous transluminal coronary angioplasty (PTCA) and placement of a drug-eluting stent (4.0 x 38 mm Xience Alpine stent, Figure 4).