case_images: PMC8349250_01
case_images: Left heart catheterization via the right radial approach. Selective angiograph of the right coronary artery in the left anterior oblique cranial projection revealing a medium caliber vessel angiographically free of any significant atherosclerotic disease.
case_images: CRIC2021-9912245.001.jpg
case_images: PMC8349250_01_CRIC2021-9912245.001.jpg
case_images: fig1
case_images: A left heart catheterization was performed and revealed evidence of thrombotic occlusion of the distal left anterior descending artery without any evidence of obstructive epicardial atherosclerotic coronary disease (Figures 1-4).
case_images: Left heart catheterization via the right radial approach. Selective angiograph of the left coronary artery in the right anterior oblique caudal projection revealing a no significant atherosclerotic disease but with a filling defect noted in the distal left anterior descending artery.
case_images: CRIC2021-9912245.002.jpg
case_images: PMC8349250_01_CRIC2021-9912245.002.jpg
case_images: fig2
case_images: A left heart catheterization was performed and revealed evidence of thrombotic occlusion of the distal left anterior descending artery without any evidence of obstructive epicardial atherosclerotic coronary disease (Figures 1-4).
case_images: Left heart catheterization via the right radial approach. Selective angiograph of the left coronary artery in the right anterior oblique cranial projection revealing a distally occluded left anterior descending artery with thrombus (blue circle).
case_images: CRIC2021-9912245.003.jpg
case_images: PMC8349250_01_CRIC2021-9912245.003.jpg
case_images: fig3
case_images: A left heart catheterization was performed and revealed evidence of thrombotic occlusion of the distal left anterior descending artery without any evidence of obstructive epicardial atherosclerotic coronary disease (Figures 1-4).
case_images: Left ventriculogram revealing a mildly reduced ejection fraction (visual estimation of 40%) along with akinesis of the distal anterior, apical anterior, and apical and apical inferior walls without evidence of an apical thrombus.
case_images: CRIC2021-9912245.004.jpg
case_images: PMC8349250_01_CRIC2021-9912245.004.jpg
case_images: fig4
case_images: A left heart catheterization was performed and revealed evidence of thrombotic occlusion of the distal left anterior descending artery without any evidence of obstructive epicardial atherosclerotic coronary disease (Figures 1-4).