Publication Date
2019
Journal Title
Clin Med Insights Case Rep
Abstract
© The Author(s) 2019. 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.
Volume Number
12
Document Type
Article
Status
Faculty; Northwell Researcher; Northwell Resident
Facility
School of Medicine; Northwell Health
Primary Department
General Internal Medicine
Additional Departments
Cardiology
PMID
DOI
10.1177/1179547619828717