case_images: PMC11825229_01
case_images: Patient characteristics. Patient with depressed nasal bridge, cleft lip and high-arched palate (A), pectus excavatum (B), and disproportionately long hands (C).
case_images: cureus-0017-00000077421-i01.jpg
case_images: PMC11825229_01_cureus-0017-00000077421-i01.jpg
case_images: FIG1
case_images: On general physical examination, he had a depressed nasal bridge, cleft lip, high-arched palate, pectus excavatum, and disproportionately long hands (Figure 1).
case_images: Electrocardiogram. Prominent ST elevation in limb leads II, III, and augmented vector foot (aVF).
case_images: cureus-0017-00000077421-i02.jpg
case_images: PMC11825229_01_cureus-0017-00000077421-i02.jpg
case_images: FIG2
case_images: Echocardiography picture showing preserved RV systolic function with TAPSE of 19 mm. RV, right ventricular; TAPSE, tricuspid annular plane systolic excursion
case_images: cureus-0017-00000077421-i03.jpg
case_images: PMC11825229_01_cureus-0017-00000077421-i03.jpg
case_images: FIG3
case_images: Mid-to-distal right ventricular (RV) free wall hypokinesia with tricuspid annular plane systolic excursion (TAPSE) of 19 mm was observed (Figure 3).
case_images: Coronary angiography. Recanalized right coronary artery (RCA)
case_images: cureus-0017-00000077421-i04.jpg
case_images: PMC11825229_01_cureus-0017-00000077421-i04.jpg
case_images: FIG4
case_images: Later, angiography revealed a recanalized right coronary artery (RCA) with good thrombolysis in myocardial infarction (TIMI) III flow (Figure 4).