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Initial 12-lead electrocardiogram revealed 2-mm ST segment elevation in inferior leads, 3-mm ST-segment elevation in anterolateral precordial leads V3 and V4, and 2-mm ST-segment elevation in V5 and V6, with right axis deviation. He was transported emergently to the cardiac catheterization laboratory where coronary angiography revealed complete occlusion of multiple anomalous branches of the right coronary system with hazy appearance suggesting the presence of thrombotic material. An aspiration catheter was used successfully to reestablish TIMI grade III flow. The patient was treated with aspirin, brilinta (ticagrelor), and anticoagulation with vitamin K antagonism to prevent recurrent thromboembolic complications.<\/jats:p>","DOI":"10.1177\/2150135116651860","type":"journal-article","created":{"date-parts":[[2016,6,13]],"date-time":"2016-06-13T23:11:55Z","timestamp":1465859515000},"page":"543-549","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["A Rare Case of Embolic ST-Elevation Myocardial Infarction in an Adult Patient With Repaired Hypoplastic Left Heart Syndrome"],"prefix":"10.1177","volume":"8","author":[{"given":"Razan","family":"Shamoon","sequence":"first","affiliation":[{"name":"Department of Medicine, St. Joseph Medical Center, New York Medical College, Patterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Habib","family":"Habib","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Joseph Medical Center, New York Medical College, Patterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Upamanyu","family":"Rampal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Trinitas Regional Medical Center, Seton Hall University, Elizabeth, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiman","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Joseph Medical Center, New York Medical College, Patterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahesh","family":"Bikkina","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Joseph Medical Center, New York Medical College, Patterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fayez","family":"Shamoon","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Joseph Medical Center, New York Medical College, Patterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,6,13]]},"reference":[{"key":"bibr1-2150135116651860","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951104006249"},{"key":"bibr2-2150135116651860","doi-asserted-by":"publisher","DOI":"10.1542\/peds.85.6.977"},{"key":"bibr3-2150135116651860","doi-asserted-by":"publisher","DOI":"10.1007\/s002469900502"},{"issue":"11","key":"bibr4-2150135116651860","first-page":"709","volume":"39","author":"Chameides L","year":"1975","journal-title":"Conn Med"},{"key":"bibr5-2150135116651860","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0004.1976.tb01571.x"},{"key":"bibr6-2150135116651860","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1991.01050313.x"},{"key":"bibr7-2150135116651860","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951110000181"},{"key":"bibr8-2150135116651860","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.04.046"},{"issue":"19","key":"bibr9-2150135116651860","first-page":"iii136","volume":"102","author":"Mahle WT","year":"2000","journal-title":"Circulation"},{"key":"bibr10-2150135116651860","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2007.01164.x"},{"key":"bibr11-2150135116651860","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.119337"},{"key":"bibr12-2150135116651860","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(00)01169-3"},{"key":"bibr13-2150135116651860","doi-asserted-by":"crossref","unstructured":"Anderson JB, Beekman RH 3rd, Kugler JD, National pediatric cardiology quality improvement collaborative. improvement in interstage survival in a national pediatric cardiology learning network. 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