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Ann Thorac Surg 2002;74:1694-1695
© 2002 The Society of Thoracic Surgeons

Case report

Atrial septal defect and myocardial infarct

Nicholas C. Cavarocchi, MDa*

a Section of Cardiothoracic Surgery, Mercy Hospital Wilkes-Barre, Wilkes-Barre, Pennsylvania, USA

Accepted for publication June 20, 2002.

* Address reprint requests to Dr Cavarocchi, Department of Cardiothoracic Surgery, Mercy Hospital Wilkes-Barre, 166 Hanover St, Suite 303, Wilkes-Barre, PA 18702-3545, USA
e-mail: ncc717{at}aol.com

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.




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