case_images: PMC10894014_01
case_images: ECG evidence showed ST-elevation segment in the anterior leads.
case_images: cureus-0016-00000052985-i01.jpg
case_images: PMC10894014_01_cureus-0016-00000052985-i01.jpg
case_images: FIG1
case_images: She went to the Emergency Department (ED), where the ECG showed ST-segment elevation in anterior leads and augmented vector left (aVL) (Figure 1) with cardiac biomarker elevation (troponin I 24 ng/ml).
case_images: Coronary angiography (CAG) and left ventriculography (LVG). Diastolic phase (A) and systolic phase (B) showed apical dyskinesia. CAG (C) showed normal coronary arteries.
case_images: cureus-0016-00000052985-i02.jpg
case_images: PMC10894014_01_cureus-0016-00000052985-i02.jpg
case_images: FIG2
case_images: Percutaneous transluminal coronary angioplasty (PTCA) demonstrated angiographically normal coronary arteries, and left ventriculography (LVG) showed apical dyskinesia with the octopus pot (Figure 2) and elevation of the end-diastolic pressure of the left ventricle.
case_images: Eccentric central partial repletion at the posterior-basal segment of the right pulmonary artery (A, B) and anterobasal and latero-basal segments of the left pulmonary artery (C).
case_images: cureus-0016-00000052985-i03.jpg
case_images: PMC10894014_01_cureus-0016-00000052985-i03.jpg
case_images: FIG3
case_images: CTPA evidence showed PE at the posterior-basal segment (Figure 3A) of the right pulmonary artery (Figure 3B) and anterobasal and latero-basal segments of the left pulmonary artery (Figure 3C).