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

Vengala, Srinivas; Nanda, Navin C.; Mehmood, Farhat; Dod, Harvinder S.; Khanna, Deepak; McGiffin, David C.

doi:10.1111/j.0742-2822.2004.04063.x

Cited by 9 publications

(11 citation statements)

References 8 publications

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“…Two‐dimensional transthoracic echocardiography (2DTEE) has frequently been used in conjunction with 2DTTE, especially in patients with poor acoustic windows and also to guide its closure in both percutaneous and intraoperative settings . Recently, the use of 2D imaging has been supplemented by 3DTTE in a few case studies reported in the literature . The advent of 3DTEE began with the introduction of 3D reconstruction of 2DTEE images, and initially, this technique was used to comprehensively assess VSR .…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the use of 2D imaging has been supplemented by 3DTTE in a few case studies reported in the literature . The advent of 3DTEE began with the introduction of 3D reconstruction of 2DTEE images, and initially, this technique was used to comprehensively assess VSR . Three‐dimensional transesophageal echocardiography (3DTEE) reconstruction was time consuming and cumbersome, however, and was replaced by live/real time 3DTEE.…”

Section: Discussionmentioning

confidence: 99%

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Incremental value of live/real time three‐dimensional transesophageal echocardiography in the assessment of ventricular septal rupture following acute myocardial infarction

et al. 2017

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Ventricular septal rupture is a serious complication following acute myocardial infarctions and is associated with a significant mortality rate. Classically, two-dimensional transthoracic echocardiography has been used to diagnose this complication and visualize its location. Two-dimensional transesophageal echocardiography has supplemented the transthoracic approach by providing more accurate assessment of the defect size and in guiding closure both percutaneously and intraoperatively. This modality, however, is limited to two-dimensional views only, and a greater breadth of information is instead available through the use of three-dimensional transesophageal echocardiography. We present a series of 11 patients in which live/real time three-dimensional transesophageal echocardiography offered incremental benefits over two-dimensional imaging alone.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Incremental value of live/real time three‐dimensional transesophageal echocardiography in the assessment of ventricular septal rupture following acute myocardial infarction

et al. 2017

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“…Three‐dimensional echocardiography overcomes the limitations of the difficult process of mentally reconstructing the complex cardiac structures from multiple 2DE tomographic views . Particularly, the unique capability of 3DE to visualize cardiac structures from any desired perspective is key to allow en face views of myocardial ruptures complicating AMI …”

Section: Discussionmentioning

confidence: 99%

“…3 Particularly, the unique capability of 3DE to visualize cardiac structures from any desired perspective is key to allow en face views of myocardial ruptures complicating AMI. [4][5][6][7][8] Acute VSD usually occurs within the first week and presents high mortality rate if prompt diagnosis and treatment are not initiated. In our first 2 cases, 3D transthoracic echocardiography (TTE) allowed a comprehensive noninvasive assessment of the location, shape, and size of the VSD, which could be visualized en face from both left and right ventricular perspectives.…”

Section: Discussionmentioning

confidence: 99%

Role of Three‐Dimensional Echocardiography in Structural Complications after Acute Myocardial Infarction

et al. 2014

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Three-dimensional echocardiography (3DE) is a unique cardiovascular imaging modality in terms of: ability to provide realistic anatomical views of cardiac structures in the beating heart and possibility to visualize cardiac structures from any desired perspective. Therefore, 3DE is emerging as an accurate imaging modality for a prompt diagnosis and detailed anatomical description of structural complications (SC) of acute myocardial infarction (AMI). We report 3 emblematic cases which show how both the transthoracic (TTE) and transesophageal (TEE) 3D imaging can provide precise anatomic information useful to address management of SC in AMI patients: (1) detailed assessment of size, location, and morphology of an apical ventricular septal defect (VSD) obtained with 3DTTE was pivotal in referring the patient to percutaneous closure of it; (2) size and location of a complex inferior VSD with irregular margins advised against percutaneous closure; and (3) 3DTEE assisted surgeons to choose between reparative or replacement surgery for an acute mitral regurgitation due to complete papillary muscle rupture.

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“…7,8 Also, live three-dimensional echocardiography has been shown to accurately diagnose the rupture site. 9 In addition, diagnosis of left ventricular free-wall rupture by magnetic resonance or CT scan have also been reported. 10,11 Emergency surgery is the treatment method of choice, since conservative treatment has been shown to have very poor prognosis.…”

Section: Discussionmentioning

confidence: 99%

Unexpected rupture of the left ventricular free wall in the echo-lab

Dencker

Tasevska

Grubb

et al. 2007

European Journal of Echocardiography

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Background Left ventricular free wall rupture is an uncommon but catastrophic event following myocardial infarction, and considered the second leading cause of death in acute myocardial infarct. Different types of rupture exist from acute to sub acute types, but prognosis is usually poor. Early recognition and aggressive treatment is recommended.Case report We present a case of a 75-year-old man who was referred to our echo-lab for an out patient evaluation because of 1-week duration of worsening of chest pain. Standard transthoracic echocardiography showed hypokinesia in the apical portion of the anterior wall and basal portion of the inferior wall. The patient complained of shortness of breath immediately after the conclusion of the exam, and soon afterward became unconscious. Renewed echocardiography approximately 1 min after syncope displayed a newly developed echo-lucent rim around the heart consistent with left ventricular free wall rupture. Resuscitation was performed followed by attempts to evacuate the blood by needle aspiration, which failed. Open pericardiocentesis stabilised the patient until surgery could be performed. The patient survived and could be discharged 2 weeks later. Conclusion This case highlights the fact that rapid and accurate diagnosis is essential if patients with left ventricular free wall rupture are to survive.

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

Cited by 9 publications

References 8 publications

Incremental value of live/real time three‐dimensional transesophageal echocardiography in the assessment of ventricular septal rupture following acute myocardial infarction

Incremental value of live/real time three‐dimensional transesophageal echocardiography in the assessment of ventricular septal rupture following acute myocardial infarction

Role of Three‐Dimensional Echocardiography in Structural Complications after Acute Myocardial Infarction

Unexpected rupture of the left ventricular free wall in the echo-lab

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