Case Reports in Cardiology / 2017 / Article / Fig 1

Case Report

Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction

Figure 1

Four-chamber echocardiographic views of an apparent ventricular septal defect of the inferior septum (a) and an apparent pseudoaneurysm of the inferior wall (b), which persisted despite rotating the transducer 90 degrees or more from the four-chamber apical window. On repeat imaging, a very narrow apical window was identified in which the two-chamber view was seen without the pseudoaneurysm (c). Also shown is a three-dimensional echocardiographic depiction of the serpiginous nature of the ventricular septal dissection (d). Surgical view of the infarcted area and partial ventricular septal defect (e). Surgical view of the septum covered by a Dacron patch (f).
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