Atrial septal defect and myocardial infarct.
The etiology for an acute myocardial infarction with normal coronary arteriography should rule in and rule out the presence of an atrial septal defect. Acute increases in left to right shunting with an atrial septal defect may lead to episodes of myocardial necrosis and right ventricular dysfunction. This case report describes such a scenario.
Cavarocchi
Nicholas C
NC
Section of Cardiothoracic Surgery, Mercy Hospital Wilkes-Barre, Pennsylvania 18702-3545, USA. ncc717@aol.com
D003937:Diagnosis, Differential; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D009206:Myocardium / Q000473:pathology; D009336:Necrosis; D018497:Ventricular Dysfunction, Right / Q000175:diagnosis / Q000209:etiology