Cor Vasa 2022, 64(1):76-79 | DOI: 10.33678/cor.2021.102

STEMI after replacement of a CRT-D electrode

Jakub Benko, Christer Bøhler, Michael Audne Thu, Tomáš Bolek, Peter Galajda, Matej Samoš, Marián Mokáň
Department of Internal Medicine I, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Bratislava, Slovakia

Introduction: Coronary artery embolism is a rare cause of acute myocardial infarction. We present a case of coronary embolism causing extensive anterolateral ST elevation myocardial infarction (STEMI) after an elective replacement of a cardiac resynchronization therapy/defibrillator (CRT-D) electrode. Case presentation: A 72-year-old male with atrial fibrillation was admitted for an elective reposition/replacement of CRT-D electrode. Anticoagulation was stopped before the procedure. After the procedure the patient developed sudden chest pain, dyspnea, and worsening of vital signs. These were accompanied by extensive ischemic anterolateral ECG changes and corresponding regional wall motion abnormalities. The urgent coronary angiography showed embolic distal occlusion of left anterior descending coronary artery.

Conclusion: We present a rare, well-documented case report of coronary embolism complicating CRT-D electrode replacement.

Keywords: Atrial fibrillation, Coronary embolism, CRT-D, STEMI

Received: May 1, 2021; Revised: August 16, 2021; Accepted: August 20, 2021; Published: February 22, 2022  Show citation

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Benko J, Bøhler C, Audne Thu M, Bolek T, Galajda P, Samoš M, Mokáň M. STEMI after replacement of a CRT-D electrode. Cor Vasa. 2022;64(1):76-79. doi: 10.33678/cor.2021.102.
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