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Updated: Jun 27, 2026

Generation and Characterization of Right Ventricular Myocardial Infarction Induced by Permanent Ligation of the Right Coronary Artery in Mice
Published on: February 1, 2022
A right ventricular infarction disguised as an anterior infarction due to an occluded isolated right ventricular
Mark Coosemans1, Ruud Koevoets, Tom Vydt
1Department of Cardiology, University Hospitals Leuven, Belgium.
Insights
Abrupt stenting closure of a right coronary artery branch caused unexpected ST-elevations, mimicking left coronary artery issues. This rare case highlights specific electrocardiographic patterns of isolated right ventricular infarction.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Electrophysiology
Background:
- Percutaneous coronary intervention (PCI) carries risks, including acute vessel closure.
- Right ventricular infarction can present with atypical electrocardiographic findings.
Observation:
- A case of abrupt closure of the right ventricular branch of the right coronary artery following stenting is presented.
- This event led to significant ST-elevations in precordial leads, initially suggesting left coronary artery pathology.
Findings:
- The observed ST-elevations were attributed to the right ventricular branch occlusion, not left coronary artery disease.
- The study details the characteristic electrocardiographic features of isolated right ventricular infarction.
Implications:
- This case expands the understanding of coronary artery stenting complications.
- Recognizing these specific ECG patterns is crucial for accurate diagnosis and timely management of right ventricular infarction.
Abstract:
We report a case of abrupt closure of the right ventricular branch of the right coronary artery due to stenting. This closure caused marked ST-elevations in the precordial leads suggesting a problem in the left coronary artery. This phenomenon is scarcely reported in the literature. We discuss the typical electrocardiographic features of an isolated right ventricular infarction and we also give an anatomical model to elucidate them.
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