title: [Acute inferior and right ventricular myocardial infarction in a patient with congenital secundum atrial septal defect].
abstract: We are presenting the case of a forty-six-year old patient, with a previously undiagnosed congenital secundum atrial septal defect, admitted to the intensive care ward because of an acute inferior and right ventricular myocardial infarction. He was randomised to Gusto V Trial and intravenous therapy of reteplase and abciximab was administered, which resulted in electrocardiographic reperfusion. After several hours of right ventricular failure his condition improved. No complications were observed throughout the convalescence. During the routine TTE examination a secundum ASD was diagnosed and confirmed afterwards in the TEE examination. Patient was qualified for coronarography which revealed a critical lesion in the right coronary artery; successful PCI was conducted. He is now waiting for surgical correction of a secundum atrial septal defect.
authors.affiliation: Swietokrzyskie Centrum Kardiologii, Kielce. pkinter@poczta.onet.pl
authors.forename: Marianna
authors.initials: M
authors.lastname: Janion
authors.forename: Beata
authors.initials: B
authors.lastname: Wozakowska-Kapłon
authors.forename: Paweł
authors.initials: P
authors.lastname: Krzyzak
authors.forename: Stanisław
authors.initials: S
authors.lastname: Buda
authors.forename: Wojciech
authors.initials: W
authors.lastname: Gutkowski
authors.forename: Radosław
authors.initials: R
authors.lastname: Bartkowiak
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Fitas
mesh_terms: D000208:Acute Disease; D000368:Aged; D017023:Coronary Angiography; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology* / Q000601:surgery; D018497:Ventricular Dysfunction, Right / Q000209:etiology* / Q000601:surgery