case_images: PMC11809601_01
case_images: Initial electrocardiogram showing ST elevation in the anterolateral leads.
case_images: jmc-16-055-g001.jpg
case_images: PMC11809601_01_jmc-16-055-g001.jpg
case_images: F1
case_images: ROSC showed ST elevation in the anterolateral leads (Fig. 1). Repeated ECG a few minutes later showed junctional rhythm bradycardia with a rate of 27 and serial changes of an anterolateral infarct were present (Fig. 2).
case_images: Electrocardiogram a few minutes after the initial showing junctional rhythm bradycardia with a rate of 27 and serial changes typical for progression of anterolateral infarct.
case_images: jmc-16-055-g002.jpg
case_images: PMC11809601_01_jmc-16-055-g002.jpg
case_images: F2
case_images: ROSC showed ST elevation in the anterolateral leads (Fig. 1). Repeated ECG a few minutes later showed junctional rhythm bradycardia with a rate of 27 and serial changes of an anterolateral infarct were present (Fig. 2).
case_images: Transthoracic echocardiogram in the four-chamber and two-chamber view without contrast showing hyperechoic mobile filamentous structure (red arrows) near the cardiac apex in the left ventricle. LV: left ventricle.
case_images: jmc-16-055-g003.jpg
case_images: PMC11809601_01_jmc-16-055-g003.jpg
case_images: F3
case_images: Transthoracic echocardiography (TTE) demonstrated reduced LVEF of 20-25% with global hypokinesis and apical akinesis with hyperechoic mobile filamentous structure near the cardiac apex, which was thought to be a false LV tendon initially (Figs. 3 and 4).
case_images: Transthoracic echocardiogram in three-dimensional view without contrast showing hyperechoic mobile filamentous structure suggestive of IDH (red arrow) near the cardiac apex.
case_images: jmc-16-055-g004.jpg
case_images: PMC11809601_01_jmc-16-055-g004.jpg
case_images: F4
case_images: Transthoracic echocardiography (TTE) demonstrated reduced LVEF of 20-25% with global hypokinesis and apical akinesis with hyperechoic mobile filamentous structure near the cardiac apex, which was thought to be a false LV tendon initially (Figs. 3 and 4).
case_images: Transthoracic echocardiogram in the four-chamber and two-chamber view with contrast suggestive of intramyocardial dissecting hematoma (red arrow). LV: left ventricle.
case_images: jmc-16-055-g005.jpg
case_images: PMC11809601_01_jmc-16-055-g005.jpg
case_images: F5
case_images: A repeat TTE with the use of an ultrasound enhancing agent (sulfur hexafluoride) revealed an apical neocavity with no contrast filling, suggestive of a large apical IDH within the LV (Figs. 5 and 6).
case_images: Transthoracic echocardiogram in the parasternal short axis with contrast in the left ventricle suggestive of intramyocardial dissecting hematoma (red arrow). LV: left ventricle.
case_images: jmc-16-055-g006.jpg
case_images: PMC11809601_01_jmc-16-055-g006.jpg
case_images: F6
case_images: A repeat TTE with the use of an ultrasound enhancing agent (sulfur hexafluoride) revealed an apical neocavity with no contrast filling, suggestive of a large apical IDH within the LV (Figs. 5 and 6).