Primary angioplasty for isolated right ventricular infarction

✍ Scribed by Koichi Sakabe; Masato Nakamura; Yoko Kitagawa; Raisuke Iijima; Rintaro Nakajima; Takuro Takagi; Takashi Yoshitama; Hitoshi Anzai; Taro Tsunoda; Tetsu Yamaguchi

• Publisher: John Wiley and Sons
• Year: 2001
• Tongue: English
• Weight: 242 KB
• Volume: 53
• Category: Article
• ISSN: 1522-1946
• DOI: 10.1002/ccd.1159

✦ Synopsis

Abstract

We describe a case of isolated right ventricular infarction that has rarely been diagnosed antemortem. Electrocardiogram showed ST segment elevation in left precordial chest, right precordial chest, and inferior leads, which mimicked those of anterior and inferior left ventricular infarction. Coronary angiography revealed that culprit lesion was totally occluded right coronary artery. Infarcted artery was nondominant right coronary artery with branches supplying only right ventricular wall. Restoration of coronary blood flow was obtained by primary stenting and resulted in prompt ST segment normalization in all leads. Despite extensive right ventricular wall motion abnormality, subsequent right ventricular dysfunction was not observed. Cathet Cardiovasc Intervent 2001;53:248–252. © 2001 Wiley‐Liss, Inc.