European Heart Journal Advance Access originally published online on September 11, 2006
European Heart Journal 2007 28(6):672; doi:10.1093/eurheartj/ehl244
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Rare coronary anomaly coexisting with atrial septal defect: contraindication to Amplatzer occluder implantation
1 Department of Coronary Disease, Jagiellonian University, Medical College, John Paul II Hospital, Krakow, Poland
2 Department of Diagnostics and Rehabilitation of Cardiac and Pulmonary Disease, John Paul II Hospital, Krakow, Poland
* Corresponding author. Tel: +48 602255122; fax +48 12 6336744. E-mail address: agackowski@szpitaljp2.krakow.pl
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A 39-year-old man presented with a history of gradually progressing exertional dyspnoea. He had 2/6 systolic murmur in the second left intercostal space. ECG revealed right bundle branch block. Transthoracic echocardiography showed ostium secundum atrial septal