Postinfarction Ventricular Septal Defect: The Role of Three‐Dimensional Echocardiography

Scandura, Salvatore; Caggegi, Anna; Cammalleri, Valeria; Millan, Giovanni; Tamburino, Corrado

doi:10.1111/j.1540-8175.2011.01653.x

Cited by 6 publications

(9 citation statements)

References 4 publications

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“…Especially 3D RT TEE is necessary during PC, in guiding the device delivery orientation, and in the postoperative assessment of device proper placement, optimal occluder expansion, and residual shunt. [45]…”

Section: Discussionmentioning

confidence: 99%

Ventricular Septal Defect Complicating Inferior Acute Myocardial Infarction: A Case of Percutaneous Closure

Ferraioli

Santoro

Bellino

et al. 2019

J Cardiovasc Echography

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Ventricular septal defect (VSD) is one of the most serious mechanical complications of acute myocardial infarction (AMI). Despite the incidence of post-AMI VSD in reperfusion era has reduced from 1%–2% to 0.17%–0.31%, it is a still life-threatening condition with poor prognosis. Surgical VSD closure is considered the best treatment approach since conservative management carries an extremely high mortality rate. Over the last decade, percutaneous transcatheter closure has emerged as an alternative therapeutic strategy for a patient with post-AMI VSD, with outcomes similar to cardiac surgery (30-day mortality 14%–66%). We present a case of inferior AMI complicated by posterobasal VSD and cardiogenic shock successfully treated with percutaneous closure. The role of echocardiography in diagnosis, management, and percutaneous procedure guiding has been emphasized.

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Section: Discussionmentioning

confidence: 99%

Ventricular Septal Defect Complicating Inferior Acute Myocardial Infarction: A Case of Percutaneous Closure

Ferraioli

Santoro

Bellino

et al. 2019

J Cardiovasc Echography

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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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“…In conclusion, we are describing a hitherto unreported complication of cardiac transplantation, which was diagnosed by 2DE and 3DE. 3DE supplemented 2DE by providing additional information regarding the shape and size of the rupture site in the LV apex …”

Section: Case Reportmentioning

confidence: 99%

“…3DE supplemented 2DE by providing additional information regarding the shape and size of the rupture site in the LV apex. [1][2][3] Supporting Information Additional Supporting Information may be found in the online version of this article:…”

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confidence: 99%

Delayed Rupture of Left Ventricular Apex After Heart Transplantation: Diagnosis by Two‐ and Three‐Dimensional Transthoracic Echocardiography

et al. 2012

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Mini‐Abstract We describe an adult patient who developed left ventricular apex rupture 3 weeks following cardiac transplantation. To the best of our knowledge, this complication of cardiac transplantation has not been reported previously. The mechanism responsible for this event in our patient is not clear, but may be related to the motion of the stiff vent canula during each heartbeat eventually resulting in rupture of the cardiac musculature in the region of the apex several days after surgery.

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Postinfarction Ventricular Septal Defect: The Role of Three‐Dimensional Echocardiography

Cited by 6 publications

References 4 publications

Ventricular Septal Defect Complicating Inferior Acute Myocardial Infarction: A Case of Percutaneous Closure

Ventricular Septal Defect Complicating Inferior Acute Myocardial Infarction: A Case of Percutaneous Closure

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

Delayed Rupture of Left Ventricular Apex After Heart Transplantation: Diagnosis by Two‐ and Three‐Dimensional Transthoracic Echocardiography

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