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

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...

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Detalles Bibliográficos
Autores principales: Dhaliwal, Surinder, Ducas, Robin, Shuangbo, Liu, Horne, David, Lee, John, Hussain, Farrukh, Kirkpatrick, Iain DC, Jassal, Davinder S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3505164/
https://www.ncbi.nlm.nih.gov/pubmed/23098382
http://dx.doi.org/10.1186/1756-0500-5-583
Descripción
Sumario: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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