title: Importance of a non-dominant right coronary artery occlusion presenting as sudden cardiac death with prolonged right ventricular dysfunction and malignant arrhythmias.
abstract: We report a case of a patient who presented with sudden cardiac death secondary to a subtotal occlusion of a small non-dominant right coronary system. Catheterization several weeks following the initial episode revealed persistent severe right ventricular dysfunction with moderate hemodynamic compensation. Continued unstable arrhythmogenic potential at this point led to placement of an AICD device. The case highlights the potential hazard and often complacency involved in dealing with benign appearing lesions as this one.
authors.affiliation: Department of Internal Medicine, University of Nebraska Medical Center, Omaha 68198, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Karim
authors.forename: C
authors.initials: C
authors.lastname: Wong
authors.forename: R
authors.initials: R
authors.lastname: Armbruster
authors.forename: J
authors.initials: J
authors.lastname: Windle
authors.forename: U
authors.initials: U
authors.lastname: Deligonul
mesh_terms: D001145:Arrhythmias, Cardiac / Q000209:etiology*; D003251:Constriction, Pathologic / Q000150:complications; D003327:Coronary Disease / Q000150:complications*; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D018497:Ventricular Dysfunction, Right / Q000209:etiology*