A rare case of acute myocardial infarction during extraction of a septally placed implantable cardioverter-defibrillator lead Eric Wierda, MD, LLM, Astrid.

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Presentation transcript:

A rare case of acute myocardial infarction during extraction of a septally placed implantable cardioverter-defibrillator lead Eric Wierda, MD, LLM, Astrid A. Hendriks, MD, Giovanni Amoroso, MD, PhD, Daniel Mol, Dirk J. van Doorn, MD, PhD, Muchtiar Khan, MD HeartRhythm Case Reports Volume 4, Issue 3, Pages 127-129 (March 2018) DOI: 10.1016/j.hrcr.2017.11.001 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Electrocardiogram on presentation showing ventricular tachycardia, heart rate of 155 beats/min, with right bundle branch morphology and superior axis. HeartRhythm Case Reports 2018 4, 127-129DOI: (10.1016/j.hrcr.2017.11.001) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 Coronary angiography performed during anterolateral myocardial infarction after unsuccessful lead extraction, showing perforation of the mid left anterior descending coronary artery (LAD) by a screw perforation of the old shock lead helix (new shock lead also visible) (caudal view). ICD = implantable cardioverter-defibrillator; RCx = right circumflex coronary artery. HeartRhythm Case Reports 2018 4, 127-129DOI: (10.1016/j.hrcr.2017.11.001) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 3 First coronary angiogram during hospitalization reveals near-proximity, interference, and coronary spasm in the mid left anterior descending coronary artery (LAD) by the implantable cardioverter-defibrillator (ICD) shock lead helix (caudal view). HeartRhythm Case Reports 2018 4, 127-129DOI: (10.1016/j.hrcr.2017.11.001) Copyright © 2017 Heart Rhythm Society Terms and Conditions