Key result
Multimodality imaging with TTE, CMR, and catheterization optimizes pre-operative ventricular septal rupture characterization.
Why the study?
Ventricular septal rupture is a mechanical complication after acute myocardial infarction requiring reliable non-invasive diagnostic methods beyond invasive ventriculography.
Case Report (n=1)
No
Multimodality imaging, including TTE and CMR, provides reliable non-invasive diagnosis of ventricular septal rupture following myocardial infarction.
May support multimodality imaging for pre-op VSR planning; leaves open prospective validation of outcome benefit.
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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Dhaliwal et al. (2012) conducted a case report in Ventricular septal rupture post myocardial infarction (n=1). Multimodality cardiac imaging (TTE, CMR, and ventriculography) was evaluated. Multimodality cardiac imaging using echocardiography, CMR, and cardiac catheterization provided complementary information for the pre-operative characterization of a ventricular septal rupture.
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