PMC6011150_01
EKG showing complete heart block with T wave inversion in inferiolateral leads and LVH strain.
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fig1
Routine electrocardiogram (EKG) showed 3rd-degree heart block (TDHB) and left ventricular hypertrophy (LVH) with strain pattern (Figure 1).
CT angiogram of the abdomen. (a) Bilateral stenosis and near occlusion of renal arteries. (b) Abdominal aortic thrombus that extends to the level of renal arteries.
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fig2
CT abdominal aortogram showed large thrombus seen in the abdominal aorta starting at the level of renal arteries completely occluding the aorta and common iliac arteries with no blood flow seen beyond the renal artery level up to the aortic bifurcation; moderate to severe stenosis is noted at the origin of both renal arteries because of thrombus (Figures 2(a) and 2(b)).
Aortogram extraction scan. It shows collateral arteries around renal arteries.
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fig3
Multiple abdominal collaterals are seen with multiple collaterals in the anterior and lateral abdominal wall and paraspinal collaterals (Figure 3).