case_images: PMC2929624_01
case_images: The initial electrocardiogram showed sinus rhythm and ST-elevations in the leads II, aVF, and V2-V6.
case_images: CRM2010-467867.001.jpg
case_images: PMC2929624_01_CRM2010-467867.001.jpg
case_images: fig1
case_images: ST-elevations in the leads II, aVF, and V2-V6 (Figure 1). ST-elevation myocardial infarction was diagnosed, and the patient received acetylsalicylic acid (500 mg i.v), clopidogrel (600 mg p.o.), and unfractionated heparin (5000 IE i.v.) and was immediately transferred for primary percutaneous coronary intervention (primary PCI) to our catheter laboratory.
case_images: Coronary angiography revealing a 50% stenosis in the left anterior descending coronary artery and a subtotal occlusion (99%) of the circumflex coronary artery.
case_images: CRM2010-467867.002.jpg
case_images: PMC2929624_01_CRM2010-467867.002.jpg
case_images: fig2
case_images: The immediately performed coronary angiography revealed coronary three-vessel disease with a 50% stenosis in the LAD, a 50% stenosis in the right coronary artery, and a subtotal occlusion (99%) of the circumflex coronary artery (Figures 2 and 3).
case_images: Coronary angiography revealing a 50% stenosis in the right coronary artery.
case_images: CRM2010-467867.003.jpg
case_images: PMC2929624_01_CRM2010-467867.003.jpg
case_images: fig3
case_images: The immediately performed coronary angiography revealed coronary three-vessel disease with a 50% stenosis in the LAD, a 50% stenosis in the right coronary artery, and a subtotal occlusion (99%) of the circumflex coronary artery (Figures 2 and 3).
case_images: Angiogram showing a left ventricular dysfunction with preserved basal function and moderate-to-severe dysfunction in the midventricle and apical regions.
case_images: CRM2010-467867.004.jpg
case_images: PMC2929624_01_CRM2010-467867.004.jpg
case_images: fig4
case_images: Angiogram showed a left ventricular dysfunction with preserved basal function and moderate-to-severe dysfunction in the midventricle and apical regions (Figure 4).
case_images: Cardiac magnetic resonance imaging showed a hyper-enhancement confined to the lateral wall.
case_images: CRM2010-467867.005.jpg
case_images: PMC2929624_01_CRM2010-467867.005.jpg
case_images: fig5
case_images: CMI showed a hyperenhancement confined to the lateral wall (Figure 5).