PMC5902109_01
EKG of the patient showing ST elevation in leads I, avL, II, III, and V2-V6.
CRIC2018-7074104.001.jpg
PMC5902109_01_CRIC2018-7074104.001.jpg
fig1
The electrocardiogram showed ST-segment elevation myocardial infarction (STEMI) in leads II, III, aVF, and V4-V6 (Figure 1).
Coronary angiogram: left anterior oblique view of LAD prior to percutaneous coronary intervention showing dissection and clot in the proximal LAD (black arrow).
CRIC2018-7074104.002.jpg
PMC5902109_01_CRIC2018-7074104.002.jpg
fig2
The patient was taken for emergent cardiac angiography within 60 minutes of presentation and revealed acute dissection with thrombosis of the distal left main coronary artery (LCA) leading into the proximal left anterior descending artery (LAD) (Figures 2 and 3).
Coronary angiogram: right anterior oblique view of LAD prior to percutaneous coronary intervention showing dissection with clot in proximal LAD with TIMI 2 flow distally (black arrow).
CRIC2018-7074104.003.jpg
PMC5902109_01_CRIC2018-7074104.003.jpg
fig3
The patient was taken for emergent cardiac angiography within 60 minutes of presentation and revealed acute dissection with thrombosis of the distal left main coronary artery (LCA) leading into the proximal left anterior descending artery (LAD) (Figures 2 and 3).
Coronary angiogram: left anterior oblique view of LAD during intervention with bare metal stent in the proximal LAD.
CRIC2018-7074104.004.jpg
PMC5902109_01_CRIC2018-7074104.004.jpg
fig4
Following this, a bare metal stent was inserted in the distal LCA ostial and the proximal LAD (Figures 4 and 5).
Coronary angiogram: right anterior oblique view of LAD after intervention showing bare metal stent in the proximal LAD with TIMI 4 flow distally.
CRIC2018-7074104.005.jpg
PMC5902109_01_CRIC2018-7074104.005.jpg
fig5
Following this, a bare metal stent was inserted in the distal LCA ostial and the proximal LAD (Figures 4 and 5).