case_images: PMC10900177_01
case_images: EKG showed ST elevation in leads V2, V3, and V4 correlating with anterior STEMI with reciprocal changes in the inferior leads III and aVF.. EKG: electrocardiogram, STEMI: ST-elevation myocardial infarction, aVF: arteriovenous fistula
case_images: cureus-0016-00000053152-i01.jpg
case_images: PMC10900177_01_cureus-0016-00000053152-i01.jpg
case_images: FIG1
case_images: In the emergency department, she was found to have dynamic EKG changes concerning for anterior STEMI (Figure 1).
case_images: (A) A thrombus in her left anterior descending artery. (B) Same lesion after PTCA, primary PCI, and aspiration thrombectomy to the left anterior descending artery.. PTCA: percutaneous transluminal coronary angioplasty, PCI: percutaneous coronary intervention
case_images: cureus-0016-00000053152-i02.jpg
case_images: PMC10900177_01_cureus-0016-00000053152-i02.jpg
case_images: FIG2
case_images: Catheterization was done after around 67 minutes from the onset of chest pain and revealed a thrombus in her LAD artery along with left ventricular (LV) dysfunction (Figure 2A). After reviewing the angiographic data, we proceeded with percutaneous transluminal coronary angioplasty (PTCA), primary PCI, and aspiration thrombectomy to the LAD artery (Figure 2B).
case_images: A. Aneurysmal dilation of the LV apex post-procedure (red oval). B. LV aneurysm that became smaller at one-month follow-up (red oval).. LV: left ventricular
case_images: cureus-0016-00000053152-i03.jpg
case_images: PMC10900177_01_cureus-0016-00000053152-i03.jpg
case_images: FIG3
case_images: There was a 3 cm-wide apical ballooning (Figure 3A). She had a repeat EKG, which showed that she only had a small remnant LV ballooning (Figure 3B).