Figure 3. Transthoracic echocardiography at the day of PCI revealed EF of 30-35%, severe hypokinesis of the anterior, mid-distal, anteroseptal, and apical wall(s),  and systolic and diastolic flattening of ventricular septum which may indicate right ventricular (RV) volume and/ pressure overload. RV was moderately to markedly dilated and atrial septum showed prominent Doppler flow noted at the mid-upper septum suggestive of an atrial septal defect

From

STEMI and CVA in Hypercoagulable State with Ostium Secundum Defect

Mohammed Al-Sadawi, Bader Madoukh, Ayman Battisha, Shakil Shaikh, Jonathan Marmur, Fadi Yacoub, Samy I. McFarlane

American Journal of Medical Case Reports. 2019, 7(12), 320-324 doi:10.12691/ajmcr-7-12-5