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Multimodality cardiac imaging of a ventricular septal rupture post myocardial infarction: a case report.


ABSTRACT:

Background

Ventricular septal rupture (VSR), a mechanical complication following an acute myocardial infarction (MI), is thought to result from coagulation necrosis due to lack of collateral reperfusion. Although the gold standard test to confirm left-to-right shunting between ventricular cavities remains invasive ventriculography, two-dimensional transthoracic echocardiography (TTE) with color flow Doppler and cardiac MRI (CMR) are reliable tests for the non-invasive diagnosis of VSR.

Case presentation

A 62-year-old Caucasian female presented with a late case of a VSR post inferior MI diagnosed by multimodality cardiac imaging including TTE, CMR and ventriculography.

Conclusion

We review the presentation, diagnosis and management of VSR post MI.

SUBMITTER: Dhaliwal S 

PROVIDER: S-EPMC3505164 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature

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Publications

Multimodality cardiac imaging of a ventricular septal rupture post myocardial infarction: a case report.

Dhaliwal Surinder S   Ducas Robin R   Shuangbo Liu L   Horne David D   Lee John J   Hussain Farrukh F   Kirkpatrick Iain D C ID   Jassal Davinder S DS  

BMC research notes 20121025


<h4>Background</h4>Ventricular septal rupture (VSR), a mechanical complication following an acute myocardial infarction (MI), is thought to result from coagulation necrosis due to lack of collateral reperfusion. Although the gold standard test to confirm left-to-right shunting between ventricular cavities remains invasive ventriculography, two-dimensional transthoracic echocardiography (TTE) with color flow Doppler and cardiac MRI (CMR) are reliable tests for the non-invasive diagnosis of VSR.<h  ...[more]

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