case_images: PMC2810605_01
case_images: 12-lead ECGs before (A) and after (B) the operation. A) A surface ECG shows sinus tachycardia (105 eats/min). Right axis deviation (RAD) and increased R/S ratio in lead V1 suggest right ventricular hypertrophy. B) A surface ECG shows a similar rate of sinus tachycardia and RAD. ST elevations (arrows) are noted in limb leads II, III, aVF. ST depressions (arrow heads) in precordial leads (V1-2) suggest acute infero-posterior myocardial infarction.
case_images: ymj-46-866-g001.jpg
case_images: PMC2810605_01_ymj-46-866-g001.jpg
case_images: F1
case_images: Admission electrocardiograph (ECG) records showed abnormal findings, including right ventricular hypertrophy, right atrial enlargement, and right electrical axis deviation (Fig. 1A). However, her postoperative ECG showed doubtable signs of ischemic heart disease (Fig. 1B).
case_images: Heart weighs about 388 g and shows flabby appearance.
case_images: ymj-46-866-g002.jpg
case_images: PMC2810605_01_ymj-46-866-g002.jpg
case_images: F2
case_images: Internally, the heart weighed about 388.0 g, which is heavier than the normal range (Fig. 2).
case_images: Left anterior descending coronary artery is near-totally obstructed by atherosclerosis with calcification.
case_images: ymj-46-866-g003.jpg
case_images: PMC2810605_01_ymj-46-866-g003.jpg
case_images: F3
case_images: An obstructive vascular lumen was also found (Fig. 3).