Nilay Solak, Gizem Ayyıldız, Çağlar Kaya, Gökay Taylan
Interventional Cardiology Perspectives - 2025;1(3):119-121
Simultaneous acute thromboses in both the left and right coronary arteries (RCAs) are uncommon. A 39-year-old male presented with chest pain and was admitted to the hospital. Electrocardiography (ECG) revealed ST-segment elevation in both the inferior and anterior leads. Due to the presence of ST-segment elevation myocardial infarction, emergency coronary angiography was performed. The angiogram demonstrated a complete occlusion in the proximal left anterior descending artery and a critical thrombotic lesion in the RCA. Both lesions were treated with stent placement. Acute coronary syndromes can present with varying ECG patterns, and simultaneous ST-segment elevations in the anterior and inferior leads are rarely observed. This report describes a case of combined acute coronary syndrome.
