Small Septal Branch Artery Thrombus Inducing Ventricular Fibrillation: To Intervene or Not to Intervene.
Acute Coronary Syndrome
complications
intervention
Journal
Clinical medicine insights. Case reports
ISSN: 1179-5476
Titre abrégé: Clin Med Insights Case Rep
Pays: United States
ID NLM: 101531893
Informations de publication
Date de publication:
2019
2019
Historique:
received:
09
11
2018
accepted:
13
01
2019
entrez:
26
2
2019
pubmed:
26
2
2019
medline:
26
2
2019
Statut:
epublish
Résumé
A 64-year-old woman presented for chest pain and was diagnosed with anteroseptal ST segment elevation myocardial infarction (STEMI). Emergent angiography showed 95% stenosis at the ostium of the second septal branch, consistent with thrombus, and no other significant lesions. The lesion was not amenable to intervention due to small caliber. Post angiography, the patient's electrical rhythm deteriorated into ventricular fibrillation. Following resuscitation, repeat angiography confirmed same findings. Electrophysiology study at 3 months was positive for inducing fibrillation. Due to patient risk factors, she had placement of a dual chamber defibrillator. A 5-month follow-up echocardiogram showed a small area of ventricular septal wall bowing, consistent with blood supply from septal territory.
Identifiants
pubmed: 30799967
doi: 10.1177/1179547619828717
pii: 10.1177_1179547619828717
pmc: PMC6378485
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1179547619828717Déclaration de conflit d'intérêts
Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Références
Catheter Cardiovasc Interv. 1999 Jan;46(1):79-82
pubmed: 10348572
Jpn Circ J. 2000 Oct;64(10):802-4
pubmed: 11059626
J Invasive Cardiol. 2001 Oct;13(10):694-7
pubmed: 11581512
J Am Coll Cardiol. 2009 Dec 1;54(23):2205-41
pubmed: 19942100
Cathet Cardiovasc Diagn. 1991 Jan;22(1):7-13
pubmed: 1995180
J Invasive Cardiol. 2011 Jan;23(1):E255-9
pubmed: 21183777
J Electrocardiol. 2012 May-Jun;45(3):280-2
pubmed: 21908000
Am Heart J. 1993 Mar;125(3):682-6
pubmed: 8438697