PMC3783481_01
ECG: Deep Q waves and T waves inversions in leads I, avL and deep Q waves with ST elevation in the left precordial leads (V5-V6). Signs of anterolateral myocardial infarction.
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ECG showed signs of anterolateral myocardial infarction (Figure 1), thus alerting clinicians that this was a very serious situation. Emergency 2D ECG was performed, which showed dilated cardiomyopathy with severe systolic dysfunction, EF 22%, and severe mitral insufficiency.
2D-ECHO. Parasternal short axis view at the level of the great vessels. Anomalous left coronary artery originating from the pulmonary trunk.
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The cardiologist was able to visualize a 2.8-mm-wide right coronary artery, but the most striking finding was the anomalous origin of the left coronary artery from the pulmonary trunk (Figure 2).
Chest X-ray showing significant cardiomegaly.
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On the chest X-ray, severe cardiomegaly (CTR 0.75) was seen (Figure 3).