PMC7683143_01
Blood smear (magnification 100x) showing numerous schistocytes and reduced platelets.
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The blood smear showed frequent schistocytes and reduced platelets (Figure 1).
ECG having ST segment elevations in II, III, AVF, and V3 through V6.
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A 12-lead ECG had ST elevations in leads II, III, AVF, and V3 through V6 (Figure 2), transthoracic echocardiography showed inferobasal hypokinesis, and serum troponin levels peaked at 37.8 (normal < 0.10), indicating acute myocardial infarction.
CT angiogram of the abdomen (arterial phase) showing left superior renal infarction and splenic infarction.
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Contrast CT imaging of the chest, abdomen, and pelvis and MRI brain showed infarctions of the left kidney, spleen, and brain (Figures 3 and 4).
Contrast MRI brain (T2 FLAIR) showing right frontal subacute and left occipital chronic infarctions.
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Contrast CT imaging of the chest, abdomen, and pelvis and MRI brain showed infarctions of the left kidney, spleen, and brain (Figures 3 and 4).
Cardiac catheterization showing occlusion of the left circumflex obtuse marginal branch (OM2).
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Thrombotic occlusion of the second branch of the left circumflex coronary artery was found, with no underlying coronary disease (Figure 5). Thrombectomy and balloon angioplasty restored normal blood flow.