case_images: PMC10566260_01
case_images: Preoperative electrocardiography showed ST-segment elevation in leads II, III, and aVF, and ST-segment depression in leads V1-2.
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case_images: PMC10566260_01_10.1177_2050313X231205143-fig1.jpg
case_images: fig1-2050313X231205143
case_images: ST-segment elevation in leads II, III, and aVF, andST-segment depression in leads V1-2 (Figure 1). Serum creatine kinase (CK) and creatine kinase-MB (CK-MB) levels were increased to 1596 and 139 IU/L, respectively.
case_images: (a) Preoperative coronary angiography demonstrating occlusion (indicated by the yellow arrow) of the distal site of the RCA. (b) Transthoracic echocardiography revealed a left-to-right shunt caused by the postinfarction ventricular septal defect.. RV: right ventricle; LV: left ventricle.
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case_images: PMC10566260_01_10.1177_2050313X231205143-fig2.jpg
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case_images: Emergency coronary angiography revealed occlusion of the distal site of the right coronary artery (RCA) (Figure 2(a)). Furthermore, transthoracic echocardiography revealed a left-to-right shunt caused by VSP, which might have caused hemodynamic instability on day 2 in the previous hospital (Figure 2(b)).
case_images: Cerebral CT revealed hemorrhagic infarction within the left cerebellar hemisphere (a) and the occipital and parietal lobes (b).
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case_images: It revealed hemorrhagic infarction within the left cerebellar hemisphere and occipital and parietal lobes (Figure 3(a) and (b)).
case_images: Operative views. (a) Small defects at the apical side of the aneurysm. (b) We excluded all the defects with a patch of bovine pericardium.
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case_images: PMC10566260_01_10.1177_2050313X231205143-fig4.jpg
case_images: fig4-2050313X231205143
case_images: Small defects were observed through incision of the thin inferior wall of the aneurysm at the interventricular septum (Figure 4(a)). All defects were excluded using a bovine pericardium patch (Figure 4(b)).