ABSTRACT
An unusual case of cyanosis and patent foramen ovale/atrial septal defect with right-sided septal hypertrophy is presented. Mild right ventricular dysfunction led to predominant right-to-left shunting. The atrial defect was surgically closed. The patient is from a family with hypertrophic cardiomyopathy; she is negative for the gene abnormality.
Subject(s)
Heart Defects, Congenital/etiology , Heart Septal Defects, Atrial/complications , Hypertrophy, Right Ventricular/complications , Adult , Echocardiography, Transesophageal , Electrocardiography , Female , Heart Defects, Congenital/diagnostic imaging , Heart Defects, Congenital/physiopathology , Heart Septal Defects, Atrial/diagnostic imaging , Heart Septal Defects, Atrial/physiopathology , Humans , Hypertrophy, Right Ventricular/diagnostic imaging , Hypertrophy, Right Ventricular/physiopathology , Oxygen/bloodSubject(s)
Aortic Arch Syndromes/complications , Aortic Coarctation/surgery , Transposition of Great Vessels/complications , Aorta, Thoracic , Aortic Arch Syndromes/surgery , Aortic Coarctation/complications , Aortography , Child , Humans , Male , Mitral Valve Stenosis/complications , Mitral Valve Stenosis/surgery , Transposition of Great Vessels/surgeryABSTRACT
Coronary arterial dissection is extremely rare. Such dissections have been reported to occur secondary to atherosclerosis, trauma, the postpartum state, and cystic medial necrosis and to be iatrogenically induced during catheterization. The clinical picture of coronary arterial dissection is usually sudded death. A review of the literature reveals that our case is the second in which a spontaneous coronary arterial dissection has been diagnosed during life and documented by coronary arteriographic studies. This report describes a 31-year-old man who presented with an acute inferior myocardial infarction. Coronary arteriographic studies demonstrated a dissection of the right coronary artery.