Case History
A 65-year-old male presented to our institution with sudden onset chest
pain, nausea, and diaphoresis and was found to have ST elevation in
leads I and aVL and ST depression in leads II, III, and aVF
(Figure 1 ). He was diagnosed with an inferolateral wall
myocardial infarction and was taken for emergent cardiac
catheterization. Coronary angiography demonstrated 100% thrombotic
mid-RCA occlusion with 80% mid-LAD and 80-90% mid-circumflex/proximal
OM2 stenoses (Figure 2 ). He underwent balloon angioplasty and
drug eluting stent placement to the RCA, and cardiac surgery was
consulted for CABG given the presence of multi-vessel disease.