PMC6376548_01
A 12-lead electrocardiogram showing QS complexes in inferior leads.
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His 12-lead electrocardiography revealed QS complexes in the inferior leads (Figure 1).
(A) Native vessel angiogram showing severe disease (near total occlusion) of left coronary system and (B) total occlusion of right coronary artery (RCA) in the mid part.
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His native coronary angiogram revealed severe triple vessel disease with total occlusion of the right coronary artery in mid part (Figure 2A and B).
Selective graft angiogram showing patency of both saphenous venous grafts (arrows) to (A) right coronary artery (RCA) and (B) obtuse marginal (OM).
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To our surprise, both venous grafts were patent (Figure 3A and B).
(a) (b) Selective Left Internal Mammary Artery (LIMA) injection showing occlusion just proximal to the distal anastomotic site (arrow).
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To our dismay, LIMA graft to LAD graft was 100% occluded proximal to distal anastomotic site (Figure 4A and B).