Figure Legends
Figure 1: EKG on initial presentation with ST elevation in leads I and aVL and ST depression in leads II, III, and aVF.
Figure 2: Coronary angiography with A) complete thrombotic mid-RCA occlusion, B) partial occlusion of the mid-LAD (80%) and mid-circumflex/proximal OM2 (80-90%).
Figure 3: Intraoperative echocardiography demonstrating A) no left to right shunting on initiation of bypass and B) a large VSR with left to right shunting on attempted weaning of cardiopulmonary bypass.