This 46-years old man came with an acute LAD territory infarct involving the anterior wall and septum. Most of the infarct involved approx. 50-60% of the thickness of the myocardium (Figs. 1-3 - pre). A tight proximal LAD lesion was seen on angiography, which was stented. Five months later, the patient presented for a follow-up study, which showed mild retraction of the infarct and an approx. 40-50% involvement of the thickness of the myocardium (FIgs. 2, 3 - post).
More importantly, the severe hypokinesia in the anterior and antero-septal walls had virtually completely regressed (cine files), suggesting response to revascularization.