PMC7175435_01
12-lead ECG (left, posterior and right leads) performed in our emergency room showing ST-segment elevation in the inferior leads (II, III, aVF) and V5, V6.
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F1
The ECG performed in our emergency department demonstrated ST-segment elevation in the inferior leads (II, III, aVF) and V4-V6 (Figure 1).
RCA with severe intimal irregularity and mild mid-part stenosis and good runoff. Significant stenosis due to stent thrombosis in the proximal part of LAD with distal delay, fair runoff.
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F2
Coronary angiography of the right superficial femoral artery (RSFA) showed near cut significant stenosis due to stent thrombosis in the proximal part of LAD with distal delay fair runoff (Figure 2).
TTE results showed: mild LV enlargement with severe systolic dysfunction (EF: 25%). Akinesia in the inferior, inferolateral and anterolateral walls; the anterior wall is hypokinetic with normal thickness. Moderate Moderate diastolic dysfunction (grade 2), normal size and systolic function of the right ventricle. Mild mitral regurgitation, no mitral stenosis, trivial tricuspid regurgitation, insignificant pericardial effusion.
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F3
Transthoracic echocardiography (TTE) results before coronary artery bypass grafting showed an ejection fraction of 25% with significant regional wall motion abnormality, accompanied by akinesia in the inferior, inferolateral, and anterolateral walls as well as severe hypokinesia in the anterior and anteroseptal walls with a normal thickness (Figure 3).
Wiring of the LAD artery.
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F4
TIMI flow 3 throughout the LAD (Figures 4, 5, 6) and the patient was symptom-free (no chest pain and no arrhythmia) post catheterization and the ST-Segment elevation returned to near baseline (Figure 7). The patient had no significant arrhythmia after the reperfusion, except one episode of nonsustained ventricular tachycardia (VT) (Figure 8).
Stenting of the LAD artery.
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F5
TIMI flow 3 throughout the LAD (Figures 4, 5, 6) and the patient was symptom-free (no chest pain and no arrhythmia) post catheterization and the ST-Segment elevation returned to near baseline (Figure 7). The patient had no significant arrhythmia after the reperfusion, except one episode of nonsustained ventricular tachycardia (VT) (Figure 8).
Final image with successful PCI of the LAD artery and good coronary flow.
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F6
TIMI flow 3 throughout the LAD (Figures 4, 5, 6) and the patient was symptom-free (no chest pain and no arrhythmia) post catheterization and the ST-Segment elevation returned to near baseline (Figure 7). The patient had no significant arrhythmia after the reperfusion, except one episode of nonsustained ventricular tachycardia (VT) (Figure 8).
12-lead ECG after PCI; ST-Segment elevation returned close to baseline.
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F7
TIMI flow 3 throughout the LAD (Figures 4, 5, 6) and the patient was symptom-free (no chest pain and no arrhythmia) post catheterization and the ST-Segment elevation returned to near baseline (Figure 7). The patient had no significant arrhythmia after the reperfusion, except one episode of nonsustained ventricular tachycardia (VT) (Figure 8).
Non-sustained VT after reperfusion.
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F8
TIMI flow 3 throughout the LAD (Figures 4, 5, 6) and the patient was symptom-free (no chest pain and no arrhythmia) post catheterization and the ST-Segment elevation returned to near baseline (Figure 7). The patient had no significant arrhythmia after the reperfusion, except one episode of nonsustained ventricular tachycardia (VT) (Figure 8).