MISSING SEPTUM, HIDDEN EMBOLISM: A PARADOXICAL CAUSE OF RECURRENT MYOCARDIAL INFARCTION IN A YOUNG PATIENT WITH SECUNDUM ATRIAL SEPTAL DEFECT

Decision-making Due to patient's young age and lack of ECG changes, cardiac MRI was initially ordered and showed ASD-PAPVR along with an old transmural inferoposterior infarct and new transmural infarct in the basal anterolateral wall. Conclusion This case highlights the importance of consideri...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2018-03, Vol.71 (11), p.A2456-A2456
Main Authors: Lastinger, Lauren Terry, Wallace, Grant, Bradley, Elisa
Format: Article
Language:English
Subjects:
Angina pectoris
Cardiology
Electrocardiography
Embolism
Embolisms
Heart attacks
Myocardial infarction
Patients
Septum
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Summary:Decision-making Due to patient's young age and lack of ECG changes, cardiac MRI was initially ordered and showed ASD-PAPVR along with an old transmural inferoposterior infarct and new transmural infarct in the basal anterolateral wall. Conclusion This case highlights the importance of considering myocardial infarction in the differential diagnosis for chest pain in patients with congenital heart disease, and reviews the differential diagnosis of transmural myocardial infarction in young, otherwise healthy patients.
ISSN:0735-1097
1558-3597
DOI:10.1016/S0735-1097(18)32997-8