Postoperative ST-segment elevation caused by mechanical compression of the native right coronary artery by a pericardial drainage tube

Eur J Cardiothorac Surg. 2023 Mar 1;63(3):ezad049. doi: 10.1093/ejcts/ezad049.

Abstract

ST-segment elevation is often the first remarkable sign of postoperative cardiac ischaemia. It requires prompt diagnostic measures and an early treatment to improve the patient's outcome. We describe a case of early postoperative ST-segment elevation due to mechanical compression of the native right coronary artery by a pericardial drainage tube in a patient after replacement of the ascending aorta.

Keywords: Ascending aortic replacement; Pericardial drainage tube; Postoperative cardiac ischaemia; Right coronary artery; ST-segment elevation.

Publication types

  • Case Reports

MeSH terms

  • Arrhythmias, Cardiac
  • Coronary Angiography
  • Coronary Artery Disease* / therapy
  • Drainage
  • Electrocardiography
  • Humans
  • Myocardial Ischemia*