case_images: PMC10884560_01
case_images: Cardiac catheterization prior to establishing reperfusion. . Occluded right coronary artery (RCA, left image) and occluded left anterior ascending artery (LAD, right), red arrows representing vessel stenosis. He underwent successful stenting and reperfusion of occluded RCA at 16:17 PM and stending and reperfusion of occluded LAD at 16:52 PM.
case_images: cureus-0016-00000052831-i01.jpg
case_images: PMC10884560_01_cureus-0016-00000052831-i01.jpg
case_images: FIG1
case_images: Left heart catheterization (LHC) at approximately 12:00 PM revealed an LV end-diastolic pressure (LVEDP) of 38 and LV ejection fraction (LVEF) of <20% with an occluded right coronary artery (RCA) and occluded left anterior descending artery (LAD) (Figure 1).
case_images: Timeline of ischemia onset-unloading and reperfusion.. Cath: catheterization; PCI: percutaneous coronary intervention; LAD: left anterior descending artery; LCx: left circumflex artery; RCA: right coronary artery; LV: left ventricle. Impella CP: Impella Cardiac Power (Abiomed, Inc., Danvers, Massachusetts, United States)
case_images: cureus-0016-00000052831-i02.jpg
case_images: PMC10884560_01_cureus-0016-00000052831-i02.jpg
case_images: FIG2
case_images: This timeline is better represented in Figure 2.