A 64-year old male presented for chest pain. His medical history included arterial hypertension, diabetes and a familial history of sudden cardiac death. Four weeks before he received a surgical treatment for a leiomyoma of the right malleolus, followed by 15 days of adequate thromboprohilaxis with low molecular weight heparin and early mobilization. In emergency department he suddenly experienced a pulseless ventricular tachycardia (VT) and was immediately defibrillated with 250 J (Fig. 1, panel A).
