Primary angioplasty for infarction due to isolated right ventricular artery occlusion

Figure 1 Electrocardiography. A: Standard 12-lead ECG at time of presentation showing ST elevation in lead V1; B: Right-sided ECG leads showing ST elevation in V4R and V5R; C: 12-lead ECG post-primary percutaneous intervention showing partial resolution of ST elevation in V1; D: Right-sided ECG post- percutaneous intervention showing resolution of ST elevation in V4R and V5R. ECG: Electrocardiography.

Figure 2 Balloon angioplasty for right coronary. A: Cranial view of right coronary artery showing occluded right ventricular branch (white arrow); B: Restoration of TIMI 3 flow in right ventricular branch after balloon angioplasty.

Figure 3 Right anterior oblique view of balance middle weight wire crossing the proximal lesion in the right ventricular branch. There is a “buddy” wire in the main right coronary artery vessel.

Figure 4 Same view as Figure 3 (right anterior oblique), showing balloon inflation in proximal right ventricular branch (white arrow).