case_images: PMC8342169_01
case_images: Electrocardiogram at presentation: sinus rhythm, STEMI in anterior chest leads, left axis deviation, PVCs in bigeminy pattern.
case_images: CRIC2021-5522501.001.jpg
case_images: PMC8342169_01_CRIC2021-5522501.001.jpg
case_images: fig1
case_images: ECG showed left axis deviation, and STEMI in the anterior chest leads with premature ventricular complexes (PVCs) in bigeminy pattern (Figure 1).
case_images: Electrocardiogram after primary PCI: it showed resolution of STEMI.
case_images: CRIC2021-5522501.002.jpg
case_images: PMC8342169_01_CRIC2021-5522501.002.jpg
case_images: fig2
case_images: We proceeded with cardiac catheterization using the left Judkins guide catheter through femoral access; the 1st injection of contrast material revealed total occlusion of the left main coronary artery (LMCA) with thrombolysis in myocardial infarction (TIMI) flow "0" (Figure 2).
case_images: Cardiac catheterization showed total occlusion of LMCA.
case_images: CRIC2021-5522501.003.jpg
case_images: PMC8342169_01_CRIC2021-5522501.003.jpg
case_images: fig3
case_images: Successful Recanalization of the Left Coronary Circulation LCS using 0.014 x 180 cm floppy guide wire, subsequently predilation with 2.00 x 20 mm balloon was done followed by deployment of 4.00 x 28 mm everolimus drug-eluting stent (Figure 3).
case_images: Left coronary artery after stenting LMCA with restoration of blood flow.
case_images: CRIC2021-5522501.004.jpg
case_images: PMC8342169_01_CRIC2021-5522501.004.jpg
case_images: fig4
case_images: As soon as the procedure on the left coronary artery was completed, the right coronary artery was examined which showed a dominant artery with significant proximal stenosis, and moderate diffuse stenosis from mid to distal segment (Figure 4).
case_images: Cardiac catheterization for right coronary artery, dominant artery and showed proximal significant stenosis, and moderate diffuse stenosis from mid to distal segment.
case_images: CRIC2021-5522501.005.jpg
case_images: PMC8342169_01_CRIC2021-5522501.005.jpg
case_images: fig5
case_images: ECG showed resolving of ST-elevation and PVCs with a bigeminy pattern (Figure 5).