Capsular contracture simulating myocardial infarction on ECG.
A patient is presented with severe bilateral class IV capsular contractures who presented 16 years after prepectoral breast augmentation with a "septal infarct" pattern on ECG. This abnormal ECG proved to be an artifact caused by unavoidable misplacement of the V2 and V3 leads because of the severe capsular contracture. Following open capsulotomy, normal anatomic lead placement was possible, and a normal ECG was produced.
Peters
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Division of Plastic Surgery, Wellesley Hospital, Toronto, Ontario, Canada.
McEwan
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D016477:Artifacts; D001941:Breast Diseases / Q000175:diagnosis* / Q000209:etiology; D002114:Calcinosis / Q000209:etiology; D003286:Contracture / Q000175:diagnosis* / Q000209:etiology; D004562:Electrocardiography / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D019736:Prostheses and Implants / Q000009:adverse effects