In-hospital time to treatment of patients with acute ST elevation myocardial infarction treated with primary angioplasty: determinants and outcome. Results from the registry of percutaneous coronary interventions in acute myocardial infarction of the Arbeitsgemeinschaft Leitender Kardiologischer Kra

A 12 year old boy was admitted with supraventricular tachycardia and congestive heart failure. An echocardiogram showed dilatation of all four chambers of the heart with biventricular dysfunction, the left ventricular ejection fraction being 21%. In addition there was a large mass, occupying most of the right atrium, extending to the anterior and lateral wall but free of the …