Figures index


STEMI and CVA in Hypercoagulable State with Ostium Secundum Defect

Mohammed Al-Sadawi, Bader Madoukh, Ayman Battisha, Shakil Shaikh, Jonathan Marmur, Fadi Yacoub, Samy I. McFarlane

American Journal of Medical Case Reports. 2019, 7(12), 320-324 doi:10.12691/ajmcr-7-12-5
  • Figure 1. EKG showed new RBBB and ST-segment elevation in leads V1-V2
  • Figure 2. Cardiac catheterization which revealed anterolateral and apical hypokinesis with Global left ventricular function moderately depressed. Ejection fraction (EF) by contrast ventriculography was 37 %. Coronary circulation revealed proximal left anterior descending (LAD) artery 100 % occlusion with completely normal rest of coronary circulation which may indicate embolic lesion. He was treated with drug-eluting stent in LAD with 1 % residual stenosis
  • Figure 3. Transthoracic echocardiography at the day of PCI revealed EF of 30-35%, severe hypokinesis of the anterior, mid-distal, anteroseptal, and apical wall(s),  and systolic and diastolic flattening of ventricular septum which may indicate right ventricular (RV) volume and/ pressure overload. RV was moderately to markedly dilated and atrial septum showed prominent Doppler flow noted at the mid-upper septum suggestive of an atrial septal defect
  • Figure 4. Transesophageal echocardiography which revealed large secundum septal defect measuring 20 mm with left to right flow
  • Figure 5. MRI brain revealed tiny focus of restricted diffusion left posterior parietal lobe on the Diffusion-weighted magnetic resonance imaging (DWI) series, which may represent a small area of acute or subacute ischemia; and anterior portion of superior sagittal sinus appears thinned and irregular, which may represent partial thrombosis