Isolated right ventricular infarction mimicking additional infero-posterior left ventricular infarction

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.

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Primary angioplasty for isolated right ventricular infarction

Sakabe

Nakamura

Kitagawa

et al. 2001

Cathet Cardio Intervent

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A new experimental model of isolated myocardial ischemic injury

Fantidis

Coma-Canella

Peinado

et al. 1997

Journal of Electrocardiology

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Isolated right ventricular infarction mimicking additional infero-posterior left ventricular infarction

Cited by 2 publications

References 6 publications

Primary angioplasty for isolated right ventricular infarction

Primary angioplasty for isolated right ventricular infarction

A new experimental model of isolated myocardial ischemic injury

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