Multimodality cardiac imaging of a ventricular septal rupture post myocardial infarction: a case report
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Date
2012-10-25
Authors
Dhaliwal, Surinder
Ducas, Robin
Shuangbo, Liu
Horne, David
Lee, John
Hussain, Farrukh
Kirkpatrick, Iain DC
Jassal, Davinder S
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Abstract
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.
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Citation
BMC Research Notes. 2012 Oct 25;5(1):583