Importance of the Multimodality Evaluation of a Double-chambered Right Ventricle for Surgical Indications on Admission for Acute Myocardial Infarction

We treated a female patient known to have a double-chambered right ventricle (DCRV) who presented with symptoms of an acute myocardial infarction (AMI). Emergent coronary artery catheterization revealed acute right coronary artery (RCA) occlusion and proximal left anterior descending (LAD) stenosis....

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Detalles Bibliográficos
Autores principales: Aoki, Shuhei, Takaoka, Hiroyuki, Ito, Ryo, Ikeuchi, Hiroki, Suzuki-Eguchi, Noriko, Sasaki, Haruka, Kinoshita, Makiko, Takahashi, Manami, Yashima, Satomi, Suzuki, Katsuya, Goto, Hiroki, Kitahara, Hideki, Moriya, Junji, Matsumiya, Goro, Kobayashi, Yoshio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125821/
https://www.ncbi.nlm.nih.gov/pubmed/35989275
http://dx.doi.org/10.2169/internalmedicine.0483-22
Descripción
Sumario:We treated a female patient known to have a double-chambered right ventricle (DCRV) who presented with symptoms of an acute myocardial infarction (AMI). Emergent coronary artery catheterization revealed acute right coronary artery (RCA) occlusion and proximal left anterior descending (LAD) stenosis. We performed percutaneous coronary intervention (PCI) for the RCA occlusion. Right heart catheterization revealed a pressure gradient across the mid-RV of 58 mmHg. Computed tomography and magnetic resonance imaging revealed no other congenital cardiac abnormalities. She underwent surgical repair of the RV stenosis and coronary artery bypass surgery for LAD stenosis.

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