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Figure 2 Examples of myocardial contrast echocardiography images in the apical four-chamber plane illustrating near complete myocardial reperfusion in a patient undergoing successful primary coronary stenting (PCS) of a totally occluded left anterior descending coronary artery (LAD). Images were obtained at a pulsing interval of 10 cardiac cycles and demonstrate little perfusion in the LAD territory before PCS (left image) and restoration of perfusion except for a small portion of the distal septum at 3 to 5 days (right image).