Heart : official journal of the British Cardiac Society
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Review Case Reports
Right ventricular infarction complicated by right to left shunting through an atrial septal defect: successful treatment with an Amplatzer septal occluder.
A 68 year old woman presented with right ventricular myocardial infarction complicated by refractory hypoxaemia. She was found to have a significant right to left shunt at the atrial level through a previously undiagnosed ostium secundum atrial septal defect. Percutaneous closure of the atrial septal defect with an Amplatzer septal occluder resulted in prompt improvement in her oxygenation and clinical state. Such closure should be considered for patients with right ventricular infarction and refractory hypoxaemia caused by a right to left interatrial shunt.
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Review Case Reports
Acute type A aortic dissection in a cardiac allograft recipient: case report and review of the literature.
Dissection of the ascending aorta is uncommon in cardiac allograft recipients and usually affects the native aorta. The diagnosis is often made at necropsy. The first case is reported of a Bentall procedure performed in a heart transplant recipient who presented with ascending aortic dissection of the donor aorta and concomitant aortic regurgitation seven years after orthotopic transplantation.