case_images: PMC11755910_01
case_images: Electrocardiogram of the patient. A: At presentation; B: Post percutaneous coronary intervention but before corticosteroid administration; C: At discharge.
case_images: 100794-g001.jpg
case_images: PMC11755910_01_100794-g001.jpg
case_images: F1
case_images: The echocardiography changes of the inferior leads, persisted for several days after the initial treatment (Figure 1B and C).
case_images: Cardiac catheterization. A: Left coronary artery, the orange arrow indicates the left anterior descending artery occlusion site; B: Right coronary artery; C-E: Percutaneous coronary intervention process of the left anterior descending; F: Angiography after the percutaneous coronary intervention.
case_images: 100794-g002.jpg
case_images: PMC11755910_01_100794-g002.jpg
case_images: F2
case_images: Coronary angiography revealed stent occlusion at the site of previous angioplasty, which was treated with PCI and further implantation of 2 drug-eluting stents (Figure 2).
case_images: Echocardiography study. A: In the parasternal long axis view increased thickness of the inferior wall when compared to the anterospetal wall can be noted. There is also pericardial effusion (asterisk); B: Short axis view; C and D: Apical views using contrast agents. There is perfusion inhomogeneity of the inferior wall.
case_images: 100794-g003.jpg
case_images: PMC11755910_01_100794-g003.jpg
case_images: F3
case_images: A moderate pericardial effusion, with no signs of impending tamponade, was also present (Figure 3).
case_images: Cardiac magnetic resonance imaging study. A-E: Basal short-axis plane; in T1-weighted image the basal inferior wall has mostly isointense signal and a small subepicardial area of mildly hypointense signal compared to the rest of myocardium (A); in T2-weighted (STIR) image the basal inferior wall has mostly hyperintense signal with area of hypointense subendocardial signal (B); in late gadolinium enhancement image there is increased signal intensity in the basal inferior wall (blue arrow) indicative of scar and extremely decreased signal intensity in the subendocardial region (orange arrow). Asterisk indicates pericardial effusion (C); end-diastolic frame post-Gadolinium administration (D); end-systolic frame of the same acquisition (E); F: End-diastolic frame in cine post-gadolinium acquisition in 2-chamber view.
case_images: 100794-g004.jpg
case_images: PMC11755910_01_100794-g004.jpg
case_images: F4
case_images: T2-weighted, in early- and in late-gadolinium enhancement images in the subepicardial and mesocardial regions, indicative of myocardial hyperemia or necrosis, with concomitant severely decreased signal intensity in the subendocardial region (Figure 4). Taken together, these findings were most probably indicative of tumor metastasis or acute myocarditis.