Coronary Confusion? An Unexpected Congenital Anomaly in a Patient with an Ostium Secundum Atrial Septal Defect

A 57-YEAR-OLD, 112 kg, 168 cm man with a history of poorly controlled type II diabetes mellitus, hypertension, hyperlipidemia, and obstructive sleep apnea presented to the authors ’ institution for evaluation of intermittent chest pain that typically lasted less than 1 minute and occurred at rest. His chest pain was not correlated with exercise nor did it substantially affect his activities of daily living. The patient also reported chronic, daily headaches that were treate d with acetaminophen-caffeine.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Diagnostic Dilemma Source Type: research