scholarly journals Right Ventricular Wall Hematoma Secondary to Percutaneous Coronary Intervention

2009 ◽  
Vol 17 (3) ◽  
pp. 99 ◽  
Author(s):  
Yong Whan Lee ◽  
Kook-Jin Chun ◽  
Yong Hyun Park ◽  
Jeong Su Kim ◽  
Jun Kim ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Right Ventricular ◽  
Coronary Intervention ◽  
Ventricular Wall ◽  
Percutaneous Coronary ◽  
Right Ventricular Wall

scholarly journals Isolated right ventricular myocardial infarction: a case report

2020 ◽  
Author(s):  
Adeogo Akinwale Olusan ◽  
Paul Francis Brennan ◽  
Paul Weir Johnston
Keyword(s):  
Myocardial Infarction ◽  
Computed Tomography ◽  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Right Ventricular ◽  
Primary Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Left Circumflex Artery ◽  
Right Ventricular Myocardial Infarction ◽  
Percutaneous Coronary

Abstract Background Isolated right ventricular myocardial infarction (RVMI) due to a recessive right coronary artery (RCA) occlusion is a rare presentation. It is typically caused by right ventricle (RV) branch occlusion complicating percutaneous coronary intervention. We report a case of an isolated RVMI due to flush RCA occlusion presenting via our primary percutaneous coronary intervention ST-elevation myocardial infarction pathway. Case summary A 61-year-old female smoker with a history of hypercholesterolaemia presented via the primary percutaneous coronary intervention pathway with sudden onset of shortness of breath, dizziness, and chest pain while walking. Transradial coronary angiography revealed a normal left main coronary artery, large left anterior descending artery that wrapped around the apex and dominant left circumflex artery with the non-obstructive disease. The RCA was not selectively entered despite multiple attempts. The left ventriculogram showed normal left ventricle (LV) systolic function. She was in cardiogenic shock with a persistent ectopic atrial rhythm with retrograde p-waves and stabilized with intravenous dobutamine thus avoiding the need for a transcutaneous venous pacing system. A computed tomography pulmonary angiogram demonstrated no evidence of pulmonary embolism while an urgent cardiac gated computed tomography revealed a recessive RCA with ostial occlusive lesion. A cardiac magnetic resonance imaging confirmed RV free wall infarction. She was managed conservatively and discharged to her local district general hospital after 5th day of hospitalization at the tertiary centre. Discussion This case describes a relatively rare myocardial infarction presentation that can present with many disease mimics which can require as in this case, a multi-modality imaging approach to establish the diagnosis.

P3590Impact of right ventricular branch slow flow phenomenon post percutaneous coronary intervention for acute coronary syndrome to predict sustained right ventricular dysfunction

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
K Setoyama ◽  
K Inoue ◽  
T Miura ◽  
A Shimizu ◽  
R Anai ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction ◽  
Coronary Intervention ◽  
Slow Flow ◽  
Flow Phenomenon ◽  
Coronary Syndrome ◽  
Percutaneous Coronary

Abstract Background Although Right Ventricular dysfunction (RVD) is one of the predictor of poor prognosis, it is believed that ischemic RVD after percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS) restores quickly. Because right ventricular perfusion has more ischemic preconditioning compared with left ventricle, due to their complex perfusion system. However, little is known about the time courses of RVD after ACS-PCI andtheir prognosis. We evaluated the relationship between right ventricular branch slow flow phenomenon (RVB-SF) post ACS-PCI in right coronary artery (RCA) and RVD at 6–8 months follow-up. Method We retrospectively analyzed consecutive 82 patients who underwent PCI for ACS in proximal or mid portion of RCA from August 2011 to March 2018 in our institution. Finally, both baseline and follow-up data were obtained from 70 patients. We analyzed TIMI frame count (TFC) to confirm the presence of RVB-SF (TFC ≥40 frame) after PCI. We also analyzed right ventricular fractional area change (RVFAC) at baseline and follow-up using echocardiography to detect sustained RVD (RVFAC ≤35%). Result We divided the patients into two groups (RVB-SF: 36 patients, RVB non-SF: 34 patients). Patient clinical characteristics were similar in both groups (sex, age, risk factors, medication, onset to balloon time, left ventricular stroke volume, max creatine kinase). Baseline RVFAC and follow-up RVFAC was significantly smaller in RVB-SF than in RVB non-SF, respectively. (27.1±1.7% vs. 38.3±1.8%, 31.4±1.0% vs. 48.7±1.1%, P<0.0001). However, ΔRVFAC (follow-up RVFAC – baseline RVFAC) was similar between groups. The size of inferior vena cava and systolic pulmonary artery pressure at follow-up were similar in both groups (12.1±0.6 mm vs. 11.7±0.7 mm, P=0.67, 25.7±1.5 mmHg vs. 25.2±1.5 mmHg, P=0.82). In RVB non-SF, 10 patients (29.4%) were diagnosed clinical RVAMI. However, follow-up RVFAC were similar and preserved in both groups (RVAMI: 48.1±1.3%, non-RVAMI: 49.9±1.9%, P=0.85). In RVB-SF, 19 patients (52.7%) were diagnosed clinical RVAMI. Follow-up RVFAC did not improved significantly in both groups (RVAMI: 30.4±1.4% vs. non-RVAMI: 32.6±1.5%, P=0.70). Multivariate analysis showed RVB-SF was the only independent predictor of sustained RVD at 6–8 months follow-up after ACS-PCI. Conclusion RVB-SF findings after ACS-PCI for RCA could predict sustained RVD at mid-term follow-up, which may indicate future prolonged RVD.

scholarly journals Solid Right Ventricular Compression by Intraventricular Septum-Hematoma Induced after Percutaneous Coronary Intervention

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Ibrahim El-Battrawy ◽  
Ibrahim Akin ◽  
Benedikt Münz ◽  
David Manuel Leistner ◽  
Michael Behnes ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Right Ventricular ◽  
Rare Complication ◽  
Coronary Intervention ◽  
Drug Eluting Stent ◽  
Heart Team ◽  
Contrast Extravasation ◽  
Coronary Syndrome ◽  
Percutaneous Coronary ◽  
Intraventricular Septum

Intraventricular septum-hematoma is a rare complication following percutaneous coronary intervention (PCI). This complication may represent a challenge for accurate diagnosis and treatment. This case report is about a 60-year-old male patient being admitted with an acute coronary syndrome. Despite successful PCI with drug eluting stent implantation into the right coronary artery (RCA) the patient complained about recurrent angina pectoris according to Canadian Cardiovascular Society (CCS) class IV. Cardiac magnetic resonance imaging and transthoracic echocardiography revealed a massive 4.9×9.2 cm sized end-diastolic septum-hematoma, which compromised right ventricular cavity. Emergent recoronary angiography ruled out further contrast extravasation from the RCA. Conservative treatment was intended after discussion in the “heart-team.” The patient completely recovered with nearly complete resolution of the hematoma after 6 months.

scholarly journals FREQUENCY OF RIGHT VENTRICULAR INFARCTION AND IN-HOSPITAL OUTCOME AFTER PRIMARY PERCUTANEOUS CORONARY INTERVENTION (PPCI) IN ACUTE INFERIOR MYOCARDIAL INFARCTION (MI)

2021 ◽  
Vol 70 (Suppl-4) ◽  
pp. S855-59
Author(s):  
Mohsin Saif ◽  
Shoaib Iqbal Safi ◽  
Ariz Samin ◽  
Fahd -ur- Rahman ◽  
Jasia Bukhari ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Right Ventricle ◽  
Right Ventricular ◽  
Primary Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Right Ventricular Infarction ◽  
Hospital Outcome ◽  
Function Tests ◽  
Percutaneous Coronary ◽  
Ventricular Infarction

Objective: To determine the frequency of Right Ventricle infarction and in-hospital outcome after primary percutaneous coronary intervention in patients with acute inferior MI. Study Design: Descriptive Cross Sectional Study. Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases, from Dec 2018 to Jun, 2019. Methodology: Non-probability consecutive sampling technique was used. Permission was sought from hospital ethical committee and informed consent was taken from participants of the study. Patients presenting with acute inferior MI who underwent Primary Percutaneous Coronary Intervention were assessed for presence of Right Ventricle infarct. All the patients’ data and variables of the study was recorded in the data collection sheet. Patients underwent venous blood sampling for Complete blood count, Renal function tests, Liver function tests, Blood glucose random, Troponin-I, cardiac enzymes and Coagulation profile at presentation in emergency department. Results: Total 261 patients were included according to the inclusion criteria of the study. Mean age (years) in the study was 58.0 ± 12.59 whereas there were 183 (70.1) male and 78 (29.9) female patients who were included in the study. Frequency of right ventricular infarction and in-hospital outcome (mortality) after Primary Percutaneous Coronary Intervention in patients with acute inferior MI was assessed in the study which was 73 (28.0) and 20 (7.7) respectively. Conclusion: The study concluded that frequency of in-hospital mortality is substantial due to major adverse cardiac events in patients with right ventricle infarction.

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