case_images: PMC11367598_01
case_images: (a) Electrocardiography showing a right bundle branch with an ST-elevation in the anterior leads. (b) ST-elevation in the right-sided leads specially in V4R suggestive of Right ventricle myocardial infarction.
case_images: 10.1177_2050313X241275366-fig1.jpg
case_images: PMC11367598_01_10.1177_2050313X241275366-fig1.jpg
case_images: fig1-2050313X241275366
case_images: The ECG showed a complete right bundle branch with ST-segment elevation in the anterior, inferior, and right leads (Figure 1).
case_images: Echocardiography showing right ventricle systolic dysfunction by using tricuspid annular systolic plane excursion-method.
case_images: 10.1177_2050313X241275366-fig2.jpg
case_images: PMC11367598_01_10.1177_2050313X241275366-fig2.jpg
case_images: fig2-2050313X241275366
case_images: Transthoracic echocardiography showed severe left ventricular dysfunction associated with right ventricular dysfunction (Figure 2).
case_images: (a) Coronary angiography showing an occlusion of the proximal left anterior descending artery (blue arrows). (b) Occlusion of the proximal right coronary artery (red arrows).
case_images: 10.1177_2050313X241275366-fig3.jpg
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case_images: fig3-2050313X241275366
case_images: The patient was then put on aspirin 300 mg (loading dose), clopidogrel 300 mg (loading dose), and dobutamine (10 microg/kg/min) and taken directly to the catheterization room, where coronary angiography revealed an occlusion of the proximal left anterior descending artery and an occlusion of the mid-right coronary artery (Figure 3).