case_images: PMC6815559_01
case_images: Electrocardiogram performed on patient arrival demonstrating ST-elevation in leads V3-V4.
case_images: CRIC2019-2487616.001.jpg
case_images: PMC6815559_01_CRIC2019-2487616.001.jpg
case_images: fig1
case_images: An electrocardiogram performed on arrival demonstrated an anterolateral STEMI (Figure 1).
case_images: Echocardiogram demonstrating a vegetation measuring 1.8 cm x 1.3 cm.
case_images: CRIC2019-2487616.002.jpg
case_images: PMC6815559_01_CRIC2019-2487616.002.jpg
case_images: fig2
case_images: Echocardiogram revealed anterior wall motion abnormalities and an aortic valve vegetation that filled more than half of the left ventricular outflow tract measuring 1.8 by 1.3 centimeters (Figures 2 and 3).
case_images: Echocardiogram demonstrating a vegetation proximal to the left aortic cusp (a) and the vegetation mobilizing toward the left coronary artery origination anastomosis upon valve opening (b).
case_images: CRIC2019-2487616.003.jpg
case_images: PMC6815559_01_CRIC2019-2487616.003.jpg
case_images: fig3
case_images: Echocardiogram revealed anterior wall motion abnormalities and an aortic valve vegetation that filled more than half of the left ventricular outflow tract measuring 1.8 by 1.3 centimeters (Figures 2 and 3).
case_images: Electrocardiogram performed five hours after first electrocardiogram (Figure 1) demonstrating ST-elevation in leads II, III, and AVF.
case_images: CRIC2019-2487616.004.jpg
case_images: PMC6815559_01_CRIC2019-2487616.004.jpg
case_images: fig4
case_images: A repeat electrocardiogram five hours later as the patient became more hypotensive revealed evolution of anterior MI with diffuse Q waves and an inferior lead STEMI (Figure 4).