case_images: PMC11179451_01
case_images: Electrocardiogram displaying sinus rhythm with marked ST elevation on the anterolateral leads (V2-V5, I, aVL) and reciprocal changes in the inferior leads (III and aVF).
case_images: 10.1177_2050313X241261157-fig1.jpg
case_images: PMC11179451_01_10.1177_2050313X241261157-fig1.jpg
case_images: fig1-2050313X241261157
case_images: The electrocardiogram (ECG) showed sinus bradycardia with ST-segment elevation in the anterolateral leads (V2-V5, I, aVL) (Figure 1), and the transthoracic echocardiogram (ECHO) showed anterior wall hypokinesia with preserved global left ventricular systolic function (ejection fraction (EF) 68%).
case_images: Coronary angiography-1 displaying a filling defect consistent with thrombosis, 100% occlusion of the proximal left anterior descending coronary artery artery, and distal tapering with TIMI 0 flow.
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case_images: PMC11179451_01_10.1177_2050313X241261157-fig2.jpg
case_images: fig2-2050313X241261157
case_images: TIMI 0 flow distally (Figure 2). There was no evidence of atherosclerosis, dissection, or coronary malformations, and the right coronary system was intact.
case_images: Coronary angiography-2 displaying a patent left anterior descending coronary artery vessel post revascularization with drug-eluting stent.
case_images: 10.1177_2050313X241261157-fig3.jpg
case_images: PMC11179451_01_10.1177_2050313X241261157-fig3.jpg
case_images: fig3-2050313X241261157
case_images: After successful balloon angioplasty, a drug-eluting stent (DES) was implanted successfully, restoring TIMI 3 flow to the proximal LAD (Figure 3).
case_images: Electrocardiogram at follow-up displaying normal findings.
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case_images: PMC11179451_01_10.1177_2050313X241261157-fig4.jpg
case_images: fig4-2050313X241261157
case_images: Upon review 4 weeks later, he reported normal functional capacity, with neither chest pain nor ischemic changes on ECG (Figure 4).