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Concomitant left anterior descending coronary artery and right coronary artery occlusion with typical anterior ST depression and inferior ST elevation
Authors:Natale Daniele Brunetti  Riccardo Ieva  MD  Michele Correale  MD  Luisa De Gennaro  MD  PhD  Vincenzo Ienco  MD  Andrea Cuculo  MD  Luigi Ziccardi  MD  Matteo Di Biase  MD
Affiliation:Cardiology Department, University of Foggia, Foggia, Italy
Abstract:
We report the case of a 41-year-old man with acute myocardial infarction showing first ST elevation in V1-V6-DI-aVL leads followed by a typical V2-V4 ST depression (concomitant occlusion of proximal diagonal branch with an incomplete left anterior descending occlusion) and DII-DIII-aVF ST elevation. At coronary angiography, a proximal left anterior descending coronary stenosis with right coronary artery thrombosis was found.
Keywords:Acute myocardial infarction   Anterior ST depression   Inferior ST elevation   Combined coronary occlusion
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