Journal of Electrocardiology
Volume 42, Issue 2 , Pages 118.e1-118.e5, March 2009

Three-dimensional relationship between the conus branch and the precordial leads confirmed by 64–multidetector-row computed tomography

  • Shumpei Mori, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan
    • Corresponding Author InformationCorresponding author. Division of Cardiology, Cardiovascular Center, Sendai Kousei Hospital, 4-15 Hirose-chou, Aoba-ku, Sendai, Miyagi 980-0873, Japan. Tel.: +81 22 222 6189; fax: +81 22 222 6189.
    • ,
  • Makoto Takamiya, MD

      Affiliations

    • Division of Radiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Kenji Suzuki, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Manabu Nakagawa, MD

      Affiliations

    • Division of Radiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Hideyuki Akiyama, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Taku Honda, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Kaname Takizawa, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Satomi Fujiwara, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Tatsushi Ootomo, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Mikio Mitsuoka, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Yuuko Ito, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Naoto Inoue, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan
    • ,
  • Taiichiro Meguro, MD

      Affiliations

    • Division of Cardiology, Sendai Kousei Hospital, Miyagi, Japan

Received 13 June 2008 published online 03 November 2008.

Abstract 

A 65-year–old man with effort angina pectoris underwent percutaneous coronary intervention of the proximal right coronary artery. The lesion was dilated with a bare-metal stent under wire protection of the conus branch (CB). However, the jailed CB was occluded. Electrocardiogram with conventional precordial leads (V1 through V6) accompanied with the supplementary leads (V1⁎ through V6⁎) positioned 1 intercostal space higher showed marked ST elevation in V1 through V3 that was more prominent in V1⁎ through V3⁎. The 64–multidetector-row computed tomographic coronary angiography showed recanalization of the CB located just in the center of the V1⁎, V2⁎, V1, and V2 electrodes.

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PII: S0022-0736(08)00349-X

doi:10.1016/j.jelectrocard.2008.08.044

Journal of Electrocardiology
Volume 42, Issue 2 , Pages 118.e1-118.e5, March 2009

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