PMC4968987_01
Electrocardiogram of the patient before intervention.
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The following findings were observed on the ECG: 1 mm ST elevation in leads DIII and aVF, 2 mm ST depression in DI and aVL, and 2-3 mm ST depression in V2-6 (Figure 1).
Left anterior oblique (LAO) caudal position of the left coronary arteries.. Abbreviation: CAUD, caudal.
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Angiography revealed 100% occlusion of the LAD after the first diagonal, noncritical plaques in the circumflex artery, and 100% occlusion of the RCA after the sinus branch (Figures 2 and 3).
Left anterior oblique (LAO) position of the right coronary artery.. Abbreviation: CAUD, caudal.
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Angiography revealed 100% occlusion of the LAD after the first diagonal, noncritical plaques in the circumflex artery, and 100% occlusion of the RCA after the sinus branch (Figures 2 and 3).
Left anterior oblique (LAO) position of the Ao-RCA graft.. Abbreviations: CAUD, caudal; Ao-RCA, aorta to the right coronary artery.
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Ao-RCA graft was 100% occluded at the proximal (Figure 4).
Anterior posterior position of the totally ocluded subclavian artery.. Abbreviations: CAUD, caudal; LAO, left anterior oblique.
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Additionally, the left subclavian artery was 100% obstructed, as observed during imaging of the LIMA-LAD graft (Figure 5). After evaluation of the patient's angiography findings, the Ao-RCA graft was deemed responsible for the infarction.
Passing the lesion.. Abbreviations: CRAN, cranial; RAO, right anterior oblique.
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Afterward, a 2.5x28 mm drug-eluting stent was placed (Figures 6-8).
A 2.5x28 mm drug-eluting stent placement.. Abbreviations: CRAN, cranial; RAO, right anterior oblique.
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Afterward, a 2.5x28 mm drug-eluting stent was placed (Figures 6-8).
Providing full expansion in left anterior descending artery.. Abbreviations: CRAN, cranial; RAO, right anterior oblique.
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Afterward, a 2.5x28 mm drug-eluting stent was placed (Figures 6-8).
Electrocardiogram findings completely decline.
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After the procedure, the patient's chest pain and ECG findings completely regressed (Figure 9).