case_images: PMC5358128_01
case_images: Initial presenting electrocardiogram: sinus rhythm with premature atrial and ventricular contractions, ST Elevation and Q waves in II, III, and aVF and tall R wave in V2 consistent with infero-post wall MI, STEMI.
case_images: cr-02-042-g001.jpg
case_images: PMC5358128_01_cr-02-042-g001.jpg
case_images: F1
case_images: The electrocardiogram (ECG) (Fig. 1) revealed sinus rhythm with premature atrial and ventricular contractions, ST Elevation and Q waves in II, III, and aVF and tall R wave in V2 consistent with infero-post wall MI, STEMI.
case_images: Follow-up electrocardiogram with formation of Q waves and normalization of the ST-T changes.
case_images: cr-02-042-g002.jpg
case_images: PMC5358128_01_cr-02-042-g002.jpg
case_images: F2
case_images: Subsequent ECGs (Fig. 2) showed formation of Q waves and normalization of the ST-T changes, decision was made to medically treat the patient for the STEMI and plan for cardiac angiography since the patient was chest pain free.
case_images: Right coronary artery (RCA) pre-intervention revealing 90% occlusion of the mid RCA with thrombus formation.
case_images: cr-02-042-g003.jpg
case_images: PMC5358128_01_cr-02-042-g003.jpg
case_images: F3
case_images: The patient later underwent diagnostic coronary angiography via radial approach which revealed a 90% occlusion of the mid right coronary artery (RCA) with a TIMI 1 antegrade flow as well as thrombus formation (Fig. 3).
case_images: Right coronary artery (RCA) after bare metal implantation in the mid RCA.
case_images: cr-02-042-g004.jpg
case_images: PMC5358128_01_cr-02-042-g004.jpg
case_images: F4
case_images: The procedure was successfully concluded and final flow was TIMI 3 (Fig. 4).