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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 on theme: "A rare case of acute myocardial infarction during extraction of a septally placed implantable cardioverter-defibrillator lead  Eric Wierda, MD, LLM, Astrid."— Presentation transcript:

1 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 (March 2018) DOI: /j.hrcr Copyright © 2017 Heart Rhythm Society Terms and Conditions

2 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, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

3 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, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

4 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, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

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