PMC6507120_01
ECG prior to the surgery showing ST segment elevation in leads V3-V6.
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fig3
It did not recur however prompted an ECG which showed sinus rhythm with nonspecific ST segment elevation in leads V3-V6 (Figure 3).
ECG postoperative day 1 showing ST elevation with new T wave inversions in leads V2-V6.
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STEMI (Figure 4). The patient was completely asymptomatic with no chest pain or other cardiac symptoms. Serial estimation of high sensitivity cardiac troponin was again negative (<0.017 ng/ml) and a repeat TTE was unremarkable.
ECG postoperative day 3 showing resolution of ST elevation and T wave inversions in leads V2-V6.
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fig5
The patient did not have any further untoward event(s) and continued to do well postoperatively with normalization of his ECG changes over the next 48 hours (Figure 5).