case_images: PMC10077973_01
case_images: Chest radiograph at emergency department upon patient arrival. The radiograph showed clear lung fields.
case_images: mdcvj-19-1-1191-g1.jpg
case_images: PMC10077973_01_mdcvj-19-1-1191-g1.jpg
case_images: F1
case_images: Chest radiography indicated no evidence of congestion (Figure 1).
case_images: Coronary angiography. The angiogram showed multiple stenoses in (A) left coronary system and (B) proximal total occlusion of the right coronary artery, which (C) successfully restored post stenting.
case_images: mdcvj-19-1-1191-g2.jpg
case_images: PMC10077973_01_mdcvj-19-1-1191-g2.jpg
case_images: F2
case_images: The flow was restored following balloon angioplasty and the placement of a 3.0-mm x 1.5-mm sirolimus-eluting coronary stent (TIMI grade III; Figure 2).
case_images: Emergency transthoracic echocardiogram. There was a 2-cm flap-like opening indicating patent foramen ovale.
case_images: mdcvj-19-1-1191-g3.jpg
case_images: PMC10077973_01_mdcvj-19-1-1191-g3.jpg
case_images: F3
case_images: A right-to-left shunt was observed and positively confirmed with a bubble test (Figure 3).