case_images: PMC7543143_01
case_images: Coronary angiogram from 2016 showing normal left anterior descending coronary
  artery.
case_images: 10.1177_2324709620963567-fig1.jpg
case_images: PMC7543143_01_10.1177_2324709620963567-fig1.jpg
case_images: fig1-2324709620963567
case_images: In 2016, the patient was admitted to our hospital with complaints of shortness of breath and had elevated troponins for which she had an angiogram that showed normal coronaries (Figure 1).
case_images: The electrocardiogram shows ST-segment elevation in lead aVL and V1 with reciprocal
  ST-segment depressions in inferolateral leads.
case_images: 10.1177_2324709620963567-fig2.jpg
case_images: PMC7543143_01_10.1177_2324709620963567-fig2.jpg
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case_images: ST-segment elevation in leads aVL and V1 with reciprocal ST depressions in the inferolateral leads (Figure 2). She was taken for an emergent coronary angiogram that revealed 100% thrombotic occlusion of left anterior descending and first diagonal (D1) arteries (Figure 3).
case_images: Coronary angiogram showing a large thrombus in the proximal left anterior descending
  artery.
case_images: 10.1177_2324709620963567-fig3.jpg
case_images: PMC7543143_01_10.1177_2324709620963567-fig3.jpg
case_images: fig3-2324709620963567
case_images: ST-segment elevation in leads aVL and V1 with reciprocal ST depressions in the inferolateral leads (Figure 2). She was taken for an emergent coronary angiogram that revealed 100% thrombotic occlusion of left anterior descending and first diagonal (D1) arteries (Figure 3).
case_images: Fluoroscopy image showing mechanical mitral valve prosthesis with bi-leaflet opening as
  shown by the red arrow.
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case_images: Fluoroscopy revealed normal motion on the leaflets of the mechanical mitral prosthesis and only one mobile leaflet in the MPAV (Figures 4 and 5).
case_images: Fluoroscopy image of a mechanical aortic valve prosthesis with a single leaflet opening
  as shown by the red arrow.
case_images: 10.1177_2324709620963567-fig5.jpg
case_images: PMC7543143_01_10.1177_2324709620963567-fig5.jpg
case_images: fig5-2324709620963567
case_images: Fluoroscopy revealed normal motion on the leaflets of the mechanical mitral prosthesis and only one mobile leaflet in the MPAV (Figures 4 and 5).