PMC2929624_01
The initial electrocardiogram showed sinus rhythm and ST-elevations in the leads II, aVF, and V2-V6.
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ST-elevations in the leads II, aVF, and V2-V6 (Figure 1). ST-elevation myocardial infarction was diagnosed, and the patient received acetylsalicylic acid (500 mg i.v), clopidogrel (600 mg p.o.), and unfractionated heparin (5000 IE i.v.) and was immediately transferred for primary percutaneous coronary intervention (primary PCI) to our catheter laboratory.
Coronary angiography revealing a 50% stenosis in the left anterior descending coronary artery and a subtotal occlusion (99%) of the circumflex coronary artery.
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The immediately performed coronary angiography revealed coronary three-vessel disease with a 50% stenosis in the LAD, a 50% stenosis in the right coronary artery, and a subtotal occlusion (99%) of the circumflex coronary artery (Figures 2 and 3).
Coronary angiography revealing a 50% stenosis in the right coronary artery.
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The immediately performed coronary angiography revealed coronary three-vessel disease with a 50% stenosis in the LAD, a 50% stenosis in the right coronary artery, and a subtotal occlusion (99%) of the circumflex coronary artery (Figures 2 and 3).
Angiogram showing a left ventricular dysfunction with preserved basal function and moderate-to-severe dysfunction in the midventricle and apical regions.
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Angiogram showed a left ventricular dysfunction with preserved basal function and moderate-to-severe dysfunction in the midventricle and apical regions (Figure 4).
Cardiac magnetic resonance imaging showed a hyper-enhancement confined to the lateral wall.
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CMI showed a hyperenhancement confined to the lateral wall (Figure 5).