Unusual presentation of right ventricular branch occlusion during percutaneous coronary intervention
Year: 2024
Type: article
Study design: Case Report
Abstract: Right ventricular (RV) infarction usually occurs in the setting of inferior wall myocardial infarction due to proximal right coronary artery (RCA) occlusion. A rarer cause of RV infarction involves an isolated RV branch occlusion during a percutaneous coronary intervention (PCI) to revascularize the RCA. In this case, the isolated RV branch occlusion resulted in transient unexpected ST-segment elevations in the anterior precordial leads. The patient developed transient chest pain peri-procedurally and repeat angiography showed widely patent stents but complete occlusion of the isolated RV branch. This case highlights a rare and unusual presentation of RV branch occlusion with anterior ST-segment elevations. Keywords: coronary artery disease, percutaneous coronary intervention, right ventricular infarction
Authors: Kiriti Vattikonda, Christopher Peterson, Michael Sternberg, Chalak Berzingi
Institutions: Carilion Clinic, Virginia Tech
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4403783168