Acute inferior and right ventricular myocardial infarction in a patient with congenital secundum atrial septal defect

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...

Full description

Saved in:
Bibliographic Details
Published inPrzeglad lekarski Vol. 62; no. 12; p. 1564
Main Authors Janion, Marianna, Wozakowska-Kapłon, Beata, Krzyzak, Paweł, Buda, Stanisław, Gutkowski, Wojciech, Bartkowiak, Radosław, Fitas, Grzegorz
Format Journal Article
LanguagePolish
Published Poland 2005
Subjects
Acute Disease
Aged
Coronary Angiography
Heart Septal Defects, Atrial - complications
Heart Septal Defects, Atrial - diagnosis
Heart Septal Defects, Atrial - surgery
Humans
Male
Middle Aged
Myocardial Infarction - etiology
Myocardial Infarction - surgery
Ventricular Dysfunction, Right - etiology
Ventricular Dysfunction, Right - surgery
Online AccessGet more information

Cover

More Information
Summary: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.
ISSN:0033-2240