PMC10424438_01
Representative case of cardio-cerebral infarction requiring coronary stenting for myocardial infarction. Head CT showed low density area in left middle cerebral artery area (red allows) at admission (A). Electro-cardiogram showed ST-segment elevation in anterior leads (B). Chest X ray showed pulmonary congestion (C). Coronary angiography showed total occlusion at proximal of left anterior descending artery (blue arrow) (D). Intravascular ultrasound showed that vessel lumen (VL) was narrowed (highlighted in orange) by plaque area (PA) and circumferential calcification (CC) (highlighted in yellow) due to atherosclerotic changes in the culprit lesion (E). TIMI 3 flow was obtained after stenting, and the stented lesion was indicated (F).
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F1
A representative case of CCI requiring stenting for myocardial infarction due to severe atherosclerotic lesions (case 7) is shown in Figure 1. She was diagnosed with AIS in the left middle cerebral artery area, and obvious ischemic changes were already detected by head CT (Figure 1A). However, the electro-cardiogram showed AF and ST-segment elevation in the anterior leads (Figure 1B). The chest x-ray showed cardiomegaly and pulmonary congestion (Figure 1C). Angiography showed total occlusion in the proximal of left anterior descending artery (Figure 1D). Intra-vascular ultrasound showed severe calcification and diffuse atherosclerotic lesion in the proximal to the middle of left anterior descending artery (Figure 1E). Anticoagulation and antiplatelet therapy were administered to prevent recurrence, and she was transferred to a satellite hospital 2 months later without hemorrhagic stroke (Figure 1F).