case_images: PMC4008355_01
case_images: Electrocardiogram on admission reveals pathological q waves and nonspecific ST-T wave changes of unknown age in the inferior leads (II, III, and aVF) and early precordial R/S transition suggesting concomitant posterior wall participation.
case_images: CRIM.CARDIOLOGY2011-876896.001.jpg
case_images: PMC4008355_01_CRIM.CARDIOLOGY2011-876896.001.jpg
case_images: fig1
case_images: Double inversion recovery FSE. Short axis slice demonstrates increased signal intensity (white arrows) in the basal-mid lateral wall consistent with myocardial oedema.
case_images: CRIM.CARDIOLOGY2011-876896.002.jpg
case_images: PMC4008355_01_CRIM.CARDIOLOGY2011-876896.002.jpg
case_images: fig2
case_images: Late gadolinium enhancement. Short axis slice. Following gadolinium, there is transmural delayed enhancement (white arrow) in the basal-mid lateral wall with a central core of noenhancement (black arrowhead) consistent with a recent myocardial infarction with a zone of no-reflow.
case_images: CRIM.CARDIOLOGY2011-876896.003.jpg
case_images: PMC4008355_01_CRIM.CARDIOLOGY2011-876896.003.jpg
case_images: fig3
case_images: LGE study (Figure 3). Left atrium (LA), right atrium (RA), and right ventricle (RV) appeared normal in size and function.
case_images: Diagnostic coronary angiography demonstrated an unobstructed left anterior descending coronary artery (white arrow) and distal occlusion of a nondominant left circumflex coronary artery (black arrowhead). The dominant right coronary artery (not shown) was normal.
case_images: CRIM.CARDIOLOGY2011-876896.004.jpg
case_images: PMC4008355_01_CRIM.CARDIOLOGY2011-876896.004.jpg
case_images: fig4
case_images: This demonstrated distal occlusion of a nondominant left circumflex coronary artery with otherwise unobstructed coronary arteries (Figure 4).