case_images: PMC11816474_01
case_images: Electrocardiogram on admission. An electrocardiogram shows attenuation of the R-wave in the anteroseptal territory, ST-segment depression in the lateral territory, and negative T waves in the inferior territory, consistent with myocardial ischemia.
case_images: cureus-0017-00000077365-i01.jpg
case_images: PMC11816474_01_cureus-0017-00000077365-i01.jpg
case_images: FIG1
case_images: The electrocardiogram showed negative T waves in the inferior territory, along with ST-segment depression in the low lateral territory (Figure 1).
case_images: Transthoracic echocardiography. A transthoracic echocardiography two-chamber shows moderately impaired systolic function and an ejection fraction of 47%.
case_images: cureus-0017-00000077365-i02.jpg
case_images: PMC11816474_01_cureus-0017-00000077365-i02.jpg
case_images: FIG2
case_images: Additionally, hypokinesia of the basal segment of the inferior wall was noted, with moderately impaired systolic function and an ejection fraction of 47%, with no visible thrombus (Figure 2).
case_images: Coronary angiography. Coronary angiography revealed a very long and multi-segment stenosis involving the proximal and middle segments of the LAD (black arrows). The LAD gives rise to four small-caliber diagonal branches (less than 2 mm in diameter), of which the first three exhibit significant stenoses.. LAD: left anterior descending artery
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case_images: PMC11816474_01_cureus-0017-00000077365-i03.jpg
case_images: FIG3
case_images: The coronary angiography (Figure 3) was performed via the radial approach and revealed a very long and multi-segment stenosis involving the proximal and middle segments of the left anterior descending artery (LAD).