PMC4781932_01
EKG showing ST segment elevation in leads V1, V2, and aVL and ST segment depressions in leads II, III, aVF, V5, and V6.
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An ECG revealed sinus bradycardia at 56 beats/min with ST segment elevation in leads V1, V2, and aVL and ST segment depressions in leads II, III, aVF, V5, and V6 (Figure 1).
(a) Coronary angiogram showing total occlusion of LAD. (b) Restoration of normal flow following balloon dilation and stent deployment.
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fig2
Coronary angiography via the right radial artery disclosed a total occlusion of the left anterior descending artery 2 mm from its origin (Figure 2(a)). A 4.0 x 23 mm everolimus-eluting stent was deployed across the site of total occlusion (Figure 2(b)).
Intravascular ultrasound (IVUS) showing thrombus in proximal LAD, no evidence of dissection.
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No dissection or atherosclerotic plaque was present (Figure 3/Video in Supplementary Material, available online at http://dx.doi.org/10.1155/2016/8671015).