Figure 1
From: Acute left main coronary artery thrombosis due to cocaine use
An electrocardiographic, x-ray and angiographic picture of our patient are present showing the severity of the condition. A. Electrocardiogram shows QR complexes in leads I, aVl, V1 and V2 due to anteroseptal and lateral myocardial infarction caused by a proximal Left Anterior Descending artery occlusion, involving septal and marginal branches. Moreover, one could recognize mild ST-T segment elevation in leads I, aVl, V4, V5. B. Common signs for acute heart failure after a large acute myocardial infarction can be seen on chest x-ray, as alveolar and interstitial edema and prominent upper lobe vessels. C, D. Cocaine abuse and thrombosis of Left coronary system. Right anterior oblique (RAO) and left anterior oblique (LAO) projection of Coronary angiogram revealing thrombus (arrows) formation in Left main artery.