The left main is MIA.... | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

The left main is MIA....

More about this case

Why you should join Figure 1

Similar cases



42 y/o female suffered cardiac arrest. Image is during cardiac cath. What is the dx?



A 50-year-old male with long-standing diabetes mellitus, hypertension, and a >30-year smoking history presented with multivessel coronary artery disease on coronary angiography. After Heart Team discussion, the patient was accepted for surgical revascularization.\ Given the diffuse and heavily calcified nature of the coronary disease and the high likelihood of requiring coronary endarterectomy, coronary artery bypass grafting was intentionally performed using cardiopulmonary bypass.\ Although the patient was relatively young, a completely arterial revascularization strategy was not pursued. Preoperative Doppler assessment demonstrated structural compromise of both radial arteries, precluding their use as suitable conduits.\ Intraoperatively, both the left anterior descending artery (LAD) and the posterior descending artery (PDA) demonstrated severe diffuse calcification. The PDA exhibited advanced obstructive disease requiring coronary endarterectomy to achieve adequate distal runoff.\ Image 1: Coronary angiography demonstrating multivessel coronary artery disease.\ Images 2–3: Intraoperative view showing severe calcification of both the left anterior descending artery (LAD) and the posterior descending artery (PDA).\ Image 4: Posterior descending artery (PDA) endarterectomy performed to restore luminal patency.\ Image 5: Extracted calcified atheromatous plaque from the posterior descending artery (PDA) bed.\ In diffuse multivessel calcified coronary disease, surgical planning must integrate anticipated endarterectomy requirements and conduit quality. A planned on-pump strategy may provide optimal safety and technical control when complex coronary reconstruction is expected.](https://app.figure1.com/case-detail/45212a66-749a-4f31-bb1b-2198d9d7da22)



RCA and LCA originating from right coronary cusp (separate, but very close ostia, and a very long left main). Entire angiogram shot with JR4.



left main dissection post stent repair. Strong suspicion of stent in shown in previous post as cause



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.\ He had a history of hypertension, long-term smoking, and a sedentary lifestyle.\ On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.\ Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?