case_images: PMC10126593_01
case_images: EKG on admission showing ST depressions in leads V3-V5.
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case_images: Electrocardiogram showed sinus rhythm with ST depressions in leads V3-V5 (Figure 1).
case_images: Prominent cardiac silhouette status post median sternotomy.
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case_images: Chest X-ray did not show any acute cardiopulmonary process (Figure 2).
case_images: (a) Coronary angiography showed 80% occlusion of the vein graft to diagonal. (b)
  Restoration of flow demonstrated after placement of DES.
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case_images: Thrombotic occlusion of the vein graft to diagonal was thought to be the culprit lesion with 80% occlusion (Figure 3(a)). There was improvement of flow and TIMI-3 flow was restored (Figure 3(b)).
case_images: (a) Color Doppler demonstrating severity of mitral regurgitation with (b) ECG tracing
  of cardiac cycle.
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case_images: Transthoracic echocardiogram (TTE) revealed left ventricular ejection fraction (LVEF) 55% with evidence of left atrial enlargement and partially detached papillary muscle (Figure 4(a) and (b)).
case_images: TEE demonstrates the partially detached anterolateral papillary muscle head.
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case_images: Preoperative transesophageal echocardiogram (TEE) confirmed the PMR and postoperative TEE demonstrated no evidence of residual MR or decreased LVEF (Figure 5).