Detecting the anatomic location of the lesion with the help of electrocardiography (ECG) is an important and time-saving
decision in cases of acute ST-segment elevation myocardial infarction. However, it can be difficult in some patients with
different coronary anatomies or underlying structural heart diseases. Here, we reported a 34-year-old male patient with
an underlying atrial septal defect (ASD) who presented with acute inferior myocardial infarction with right ventricle (RV)
involvement due to acute thrombotic left anterior descending artery occlusion.
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