PMC3771468_01
PMC3771468_02
Postarrest electrocardiogram showing ST-segment elevation of up to 5 mm in V1 to V6, DI, and aVL, with ST downslope up to 2 mm in inferior leads.
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PMC3771468_03_CRIM.TRANSPLANTATION2013-606481.001.jpg
fig1
The spasm was reversed after administration of intracoronary nitroglycerin, and a satisfactory angiographic result was achieved (Figure 4, Supplementary Video 1 (see Supplementary Material available online at http://dx.doi.org/10.1155/2013/606481)).
PMC3771468_03
Postarrest electrocardiogram showing ST-segment elevation of up to 5 mm in V1 to V6, DI, and aVL, with ST downslope up to 2 mm in inferior leads.
CRIM.TRANSPLANTATION2013-606481.001.jpg
PMC3771468_03_CRIM.TRANSPLANTATION2013-606481.001.jpg
fig1
The spasm was reversed after administration of intracoronary nitroglycerin, and a satisfactory angiographic result was achieved (Figure 4, Supplementary Video 1 (see Supplementary Material available online at http://dx.doi.org/10.1155/2013/606481)).
Angiography showing total occlusion of the proximal left anterior descending artery, with moderate lesions in the mid-circumflex artery and in the proximal first marginal branch.
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PMC3771468_03_CRIM.TRANSPLANTATION2013-606481.002.jpg
fig2
Emergency coronary angiography was performed and showed total occlusion of the proximal left anterior descending artery (LAD), with moderate lesions (40%) in the mid-circumflex artery and in the proximal first marginal branch (Figure 2), and total occlusion of the hypoplastic proximal right coronary artery.
After left anterior descending artery (LAD) recanalization: severe diffuse disease in the proximal and mid LAD, and severe spasm in its distal third.
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PMC3771468_03_CRIM.TRANSPLANTATION2013-606481.003.jpg
fig3
After the vessel recanalization, severe diffuse disease was observed in the proximal and mid LAD, with severe spasm in its distal third (Figure 3).
Final result of the primary angioplasty, showing angiographic success.
CRIM.TRANSPLANTATION2013-606481.004.jpg
PMC3771468_03_CRIM.TRANSPLANTATION2013-606481.004.jpg
fig4
The spasm was reversed after administration of intracoronary nitroglycerin, and a satisfactory angiographic result was achieved (Figure 4, Supplementary Video 1 (see Supplementary Material available online at http://dx.doi.org/10.1155/2013/606481)).
PMC3771468_04