A 77-year-old male with a history of coronary bypass graft surgery 15 years previously was referred to the cardiology department for management of a huge thoracic aortic aneurysm. After debranching of the innominate artery and left common carotid artery, hybrid thoracic endovascular aortic repair was planned two days later. On postoperative day (POD) 1, ST elevation in the precordial leads and cardiac marker elevation were noted. Echocardiography revealed newly developed akinesias of the apical wall and mid to basal septal walls. Medical stabilization was performed after confirming the patency of the bypass grafts.
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