case_images: PMC5643090_01
case_images: Left heart catheterization identifying stenosis of proximal right coronary artery.
case_images: CRIC2017-9475180.001.jpg
case_images: PMC5643090_01_CRIC2017-9475180.001.jpg
case_images: fig1
case_images: ST segment elevations in augmented vector foot (avf) and limb lead III (L-III) with increased serum cardiac enzymes. She was emergently taken to the catheterization lab and was found to have a 95% stenosis in the proximal right coronary artery (RCA) (Figure 1), a 60% stenosis in the diagonal 1 branch, and a 75% stenosis in middle left anterior descending artery (mLAD) lesion.
case_images: Post-CABG EKG showing ST segment elevations in L-II, L-III, aVF, and V3-V6.
case_images: CRIC2017-9475180.002.jpg
case_images: PMC5643090_01_CRIC2017-9475180.002.jpg
case_images: fig2
case_images: ST segment elevations in the inferior and anterolateral leads (Figure 2). She was however symptom free and these were thought to be postoperative changes.
case_images: Left heart catheterization showing occlusion of SVG graft to RPDA.
case_images: CRIC2017-9475180.003.jpg
case_images: PMC5643090_01_CRIC2017-9475180.003.jpg
case_images: fig3
case_images: Repeat catheterization showed occlusion of SVG graft to RPDA (Figure 3), thrombosis of the LAD distal to the LIMA insertion (Figure 4), and thrombosis of the RPDA (Figure 5).
case_images: Left heart catheterization showing diseased LAD distal to LIMA insertion.
case_images: CRIC2017-9475180.004.jpg
case_images: PMC5643090_01_CRIC2017-9475180.004.jpg
case_images: fig4
case_images: Repeat catheterization showed occlusion of SVG graft to RPDA (Figure 3), thrombosis of the LAD distal to the LIMA insertion (Figure 4), and thrombosis of the RPDA (Figure 5).
case_images: Left heart catheterization identifying worsening disease of RPDA after CABG.
case_images: CRIC2017-9475180.005.jpg
case_images: PMC5643090_01_CRIC2017-9475180.005.jpg
case_images: fig5
case_images: Repeat catheterization showed occlusion of SVG graft to RPDA (Figure 3), thrombosis of the LAD distal to the LIMA insertion (Figure 4), and thrombosis of the RPDA (Figure 5).