PostOperative ST‐segment elevation: not a blocked coronary artery, then what?

Key Clinical Message ST‐segment elevation is well known for its diagnostic value for transmural myocardial infarction due to acute thrombotic occlusion of a coronary artery, and often requires emergency reperfusion therapy. However, ST segment is by no means pathognomonic for acute coronary events. Here, we report a case of ST‐segment elevation after hepatectomy secondary to an unusual etiology. ST‐segment elevation is well known for its diagnostic value for transmural myocardial infarction due to acute thrombotic occlusion of a coronary artery, and often requires emergency reperfusion therapy. However, ST segment is by no means pathognomonic for acute coronary events. Here, we report a case of ST‐segment elevation after hepatectomy secondary to an unusual etiology.