Echocardiographic Features of Ventricular Septal Rupture with Right Ventricular Aneurysm After Acute Myocardial Infarction

Abstract

Postinfarction ventricular septal defect is a life-threatening disorder that may be adequately treated if the diagnosis is obtained promptly. Two-dimensional color Doppler echocardiography is a reliable tool for this diagnosis and gives additional information regarding its location, size, and shape. The authors emphasize the feasibility of this method to depict a particular form of postinfarction interventricular septal rupture, which developed an aneurysm inside the right ventricular cavity. Its characteristics were completely defined by color Doppler echocardiography and confirmed at surgery. (ECHOCARDIOGRAPHY, Volume 13, May 1996)

Percutaneous Closure of Postmyocardial Infarction Ventricular Septal Defect

“…Later defects are due to the process of necrosis and lysis that lead to disintegration of the tissue. Associated wall aneurysm can be produced and rupture of these is also described 4,5 …”

“…Associated wall aneurysm can be produced and rupture of these is also described. 4,5 These patients are gravelly ill and their prognosis is poor. If medical treatment is the only management option, the mortality is as high as 90%.…”

Ventricular Septal Rupture and Mitral Regurgitation Caused by Trauma

“…The heart is compressed between the spine and sternum during the trauma. The size, location, and shape of the ventricular septal defect may be challenging to define accurately using two‐dimensional transthoracic echocardiography because it views cardiac structures and any associated defects in two dimensions only 3,4 …”

Live Three‐Dimensional Transthoracic Echocardiographic Delineation of Ventricular Septal Rupture Following Myocardial Infarction

“…The location and size of the septal defect as well as hemodynamic conditions are considered important information and may influence patient prognosis 1,2 . The exact location, shape, and size of the ventricular septal defect may be challenging to define accurately using two‐dimensional transthoracic echocardiography (2D TTE) because it views cardiac structures and any associated defects in two dimensions only 3,4 . Three‐dimensional reconstruction of multiplane transesophageal echocardiographic images has been found useful in evaluating the location and size of ventricular septal rupture but the technique is semiinvasive and not completely without risk 5–7 .…”

“…1,2 The exact location, shape, and size of the ventricular septal defect may be challenging to define accurately using two-dimensional transthoracic echocardiography (2D TTE) because it views cardiac structures and any associated defects in two dimensions only. 3,4 Three-dimensional reconstruction of multiplane transesophageal echocardiographic images has been found useful in evaluating the location and size of ventricular septal rupture but the technique is semiinvasive and not completely without risk. 5−7 It would be beneficial if the same information could be obtained with live three-dimensional transthoracic echocardiography (3D TTE).…”