ST-Segment Elevation During Percutaneous Left Atrial Appendage Closure

Tatsuro Shoji, MD; Yukio Sato, MD, PhD; Daisuke Togashi, MD; Shingo Kuwata, MD, PhD; Masaki Izumo, MD, PhD; Tomoo Harada, MD, PhD; Yoshihiro J. Akashi, MD, PhD

JACC: Case Reports (Feb 2024)

ST-Segment Elevation During Percutaneous Left Atrial Appendage Closure

Tatsuro Shoji, MD,
Yukio Sato, MD, PhD,
Daisuke Togashi, MD,
Shingo Kuwata, MD, PhD,
Masaki Izumo, MD, PhD,
Tomoo Harada, MD, PhD,
Yoshihiro J. Akashi, MD, PhD

Affiliations

Tatsuro Shoji, MD: Department of Cardiology, St. Marianna University School of Medicine, Kanagawa, Japan
Yukio Sato, MD, PhD: Department of Cardiology, St. Marianna University School of Medicine, Kanagawa, Japan
Daisuke Togashi, MD: Department of Cardiology, St. Marianna University School of Medicine, Kanagawa, Japan
Shingo Kuwata, MD, PhD: Department of Cardiology, St. Marianna University School of Medicine, Kanagawa, Japan
Masaki Izumo, MD, PhD: Address for correspondence: Dr Masaki Izumo, Department of Cardiology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, Japan.; Department of Cardiology, St. Marianna University School of Medicine, Kanagawa, Japan
Tomoo Harada, MD, PhD: Department of Cardiology, St. Marianna University School of Medicine, Kanagawa, Japan
Yoshihiro J. Akashi, MD, PhD: Department of Cardiology, St. Marianna University School of Medicine, Kanagawa, Japan

Journal volume & issue: Vol. 29, no. 4
p. 102216

Abstract

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A 70-year-old patient with paroxysmal atrial fibrillation underwent left atrial appendage closure. The patient experienced transient hypotension during device implantation. The procedure was abandoned because of ST-T-wave changes on electrocardiography and elevated coronary flow velocity on transesophageal echocardiography, which indicated that the device caused coronary artery compression.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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