title: Primary angioplasty for isolated right ventricular infarction.
abstract: 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.
authors.affiliation: Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine, Tokyo, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Sakabe
authors.forename: M
authors.initials: M
authors.lastname: Nakamura
authors.forename: Y
authors.initials: Y
authors.lastname: Kitagawa
authors.forename: R
authors.initials: R
authors.lastname: Iijima
authors.forename: R
authors.initials: R
authors.lastname: Nakajima
authors.forename: T
authors.initials: T
authors.lastname: Takagi
authors.forename: T
authors.initials: T
authors.lastname: Yoshitama
authors.forename: H
authors.initials: H
authors.lastname: Anzai
authors.forename: T
authors.initials: T
authors.lastname: Tsunoda
authors.forename: T
authors.initials: T
authors.lastname: Yamaguchi
mesh_terms: D000368:Aged; D017130:Angioplasty; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000601:surgery*; D018497:Ventricular Dysfunction, Right / Q000601:surgery*