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In-situ coronary thrombosis without atherosclerosis in a young male: A case of multifactorial thrombophilia

 y   
12 sept 2025

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Figure 1

Electrocardiogram. QS complex in V1, absence of R-wave progression in V2–V4, ST depression in leads II, III, and aVF.
Electrocardiogram. QS complex in V1, absence of R-wave progression in V2–V4, ST depression in leads II, III, and aVF.

Figure 2

Angiogram of the left coronary artery. Coronary angiography (12 hours post-symptom onset) revealed a mural thrombus in the proximal left anterior descending artery (LAD) with TIMI III flow and no signs of atherosclerosis, dissection, or vasospasm.
Angiogram of the left coronary artery. Coronary angiography (12 hours post-symptom onset) revealed a mural thrombus in the proximal left anterior descending artery (LAD) with TIMI III flow and no signs of atherosclerosis, dissection, or vasospasm.

Figure 3

Angiogram of the right coronary artery. The right coronary artery is normal.
Angiogram of the right coronary artery. The right coronary artery is normal.

Figure 4

Electrocardiogram (discharge). Persistent QS complex in V1–V2, minimal R-wave in V3 (1 mm), no positive dynamics in V4, confirming completed transmural Q-wave MI.
Electrocardiogram (discharge). Persistent QS complex in V1–V2, minimal R-wave in V3 (1 mm), no positive dynamics in V4, confirming completed transmural Q-wave MI.