Concomitant ventricular septal rupture and interventricular septal aneurysm in neglected inferior myocardial infarction misdiagnosed with congenital ventricular septal defect: A case report

Figures

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  FIGURE 1. Image depicts the electrocardiography of the patient. ECG showing Sinus rhythm, RAD, Incomplete RBBB, mild ST‐segment elevation and T‐wave inversion in the inferior leads, mild ST‐depression in the precordial leads. ECG, electrocardiogram; RAD, right axis deviation

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  FIGURE 2. Images present echocardiographic findings. (A) Apical 4‐chamber view showing the aneurysm with ventricular septal rupture (VSR). (B) Apical 4‐chamber view with Color‐Doppler showing flow across VSR. (C) Parasternal short‐axis view showing the aneurysm

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  FIGURE 3. Image illustrates a schematic view of the interventricular septal aneurysm, multiple perforations (VSR). VSR, ventricular septal rupture

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  FIGURE 4. Transesophageal echocardiogram image demonstrates interventricular septal aneurysm

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  FIGURE 5. Coronary angiography of the patient demonstrates that the right coronary artery is cut off in the mid‐part (arrowhead)

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  FIGURE 6. Left ventricular angiography; the LAO cranial view (20 ͦ * 20 ͦ) shows the opacification of LV (red arrow), followed by the opacification of IVS aneurysm (blue arrow) and subsequently the RV (green arrow). LV, left ventricle; IVS, interventricular septum; RV, right ventricle