case_images: PMC10830149_01
case_images: Electrocardiography (ECG) on arrival. Electrocardiography (ECG) on arrival showed sinus rhythm with minimal ST-segment elevation in the lateral leads and minimal ST-segment depression in the inferior leads.
case_images: cureus-0016-00000051480-i01.jpg
case_images: PMC10830149_01_cureus-0016-00000051480-i01.jpg
case_images: FIG1
case_images: Electrocardiography (ECG) on arrival showed sinus rhythm with minimal ST-segment depression in the inferior leads and minimal ST-segment elevation in the lateral leads (Figure 1).
case_images: Repeat electrocardiography. Repeat electrocardiography showed worsening ST-segment elevations in the lateral leads.
case_images: cureus-0016-00000051480-i02.jpg
case_images: PMC10830149_01_cureus-0016-00000051480-i02.jpg
case_images: FIG2
case_images: TTE parasternal (long axis view) of the heart. TTE: Transthoracic echocardiography. TTE parasternal (long axis view) of the heart shows hypokinesis of the inferior wall.. TTE parasternal (short axis view) of the heart. Transthoracic echocardiography (TTE) parasternal (short axis view) of the heart showing hypokinesis of the inferior and anterolateral walls.. TTE (apical view) of the heart. Transthoracic echocardiography (TTE, apical view) of the heart shows hypokinesis of the apex and lateral wall.. RAO (caudal view) of the coronary angiogram. Right Anterior Oblique (RAO, caudal view) of the coronary angiogram showing 100% occlusion of Obtuse Marginal-1 (OM1), 90% occlusion of Diagonal-1 (D1), and 70% occlusion proximal Left Anterior Descending (pLAD) artery.. Anteroposterior view of the coronary angiogram after revascularization of the OM1
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case_images: PMC10830149_01_.jpg
case_images: VID1
case_images: Follow-up 2D-TTE revealed EF of 36-40% with the development of a contained LV free wall rupture with the formation of large (8 cm) LV pseudoaneurysm outside lateral wall and multiple sites of rupture (necks) communicating with pseudoaneurysm with to-and-fro flow (Figures 3-4).
case_images: 2D-TTE (apical four-chamber view). The image shows a thinned-out LV lateral wall and a contained LV free wall rupture with the formation of a large (8 cm) Pseudoaneurysm.. 2D-TTE: Two-dimensional transthoracic echocardiography, LA: left atrium, LV: left ventricle, RA: right atrium, RV: right ventricle, PsA: pseudoaneurysm.
case_images: cureus-0016-00000051480-i03.jpg
case_images: PMC10830149_01_cureus-0016-00000051480-i03.jpg
case_images: FIG3
case_images: Follow-up 2D-TTE revealed EF of 36-40% with the development of a contained LV free wall rupture with the formation of large (8 cm) LV pseudoaneurysm outside lateral wall and multiple sites of rupture (necks) communicating with pseudoaneurysm with to-and-fro flow (Figures 3-4).