Cavarocchi Nicholas C
Section of Cardiothoracic Surgery, Mercy Hospital Wilkes-Barre, Pennsylvania 18702-3545, USA.
Ann Thorac Surg. 2002 Nov;74(5):1694-5. doi: 10.1016/s0003-4975(02)03961-9.
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.
冠状动脉造影正常的急性心肌梗死的病因应明确是否存在房间隔缺损。房间隔缺损导致的左向右分流急性增加可能会引发心肌坏死和右心室功能障碍。本病例报告描述了这样一种情况。