case_images: PMC11135076_01
case_images: (a) Emergency ECG showing ST segment elevation in leads II, III, aVF, and reciprocal ST segment depression in lead aVL. (b) ECG showing a dead man sign (red rectangle).
case_images: 10.1177_2050313X241258738-fig1.jpg
case_images: PMC11135076_01_10.1177_2050313X241258738-fig1.jpg
case_images: fig1-2050313X241258738
case_images: An emergency ECG revealed ST segment elevation in leads II, III, aVF, and reciprocal ST segment depression in lead aVL (Figure 1(a)). The "Dead man sign" was positive, as shown in (Figure 1(b)).
case_images: (a) Coronary angiography reveals total occlusion of the right coronary artery (red arrow). (b) Caudal view of coronary angiography, demonstrating mid-bifurcational subtotal occlusion of the left anterior descending artery (red arrow) and normal flow in the left circumflex artery (white arrow).
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case_images: PMC11135076_01_10.1177_2050313X241258738-fig2.jpg
case_images: fig2-2050313X241258738
case_images: Emergency percutaneous coronary intervention (PCI) was performed with a door-to-balloon time of 70 min, revealing total occlusion of the right coronary artery (RCA) with TIMI 0 blood flow (Figure 2(a)) and proximal mid-bifurcational occlusion of the left anterior descending (LAD) artery with TIMI 2 blood flow and normal left circumflex artery (Figure 2(b)).
case_images: (a) TIMI 3 blood flow in the right coronary artery following stent insertion. (b) Restoration of normal blood flow in the left anterior descending artery (red arrow) post-stent insertion, alongside normal flow in the left circumflex artery (white arrow).
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case_images: fig3-2050313X241258738
case_images: Specifically, Zotarolimus-Eluting Stents (Onyx, Medtronic) measuring 3.5 x 30 mm were placed in the RCA and LAD, restoring normal blood flow (Figure 3(a) and (b)), without the need for a temporary pacemaker.
case_images: One hour post angiography ECG reveals normal sinus rhythm without ischemic changes.
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case_images: PMC11135076_01_10.1177_2050313X241258738-fig4.jpg
case_images: fig4-2050313X241258738
case_images: One hour post-angiography, his ECG revealed normal sinus rhythm without ischemic changes, indicating successful revascularization (Figure 4).