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Open Access Case Report

Multimodality cardiac imaging of a ventricular septal rupture post myocardial infarction: a case report

Surinder Dhaliwal1, Robin Ducas2, Liu Shuangbo3, David Horne4, John Lee4, Farrukh Hussain2, Iain DC Kirkpatrick1 and Davinder S Jassal125*

Author Affiliations

1 Department of Radiology, University of Manitoba, Winnipeg, Manitoba, Canada

2 Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

3 Section of Internal Medicine, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

4 Section of Cardiac Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada

5 Institute of Cardiovascular Sciences, St. Boniface Research Centre, University of Manitoba, Winnipeg, Manitoba, Canada

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BMC Research Notes 2012, 5:583  doi:10.1186/1756-0500-5-583

Published: 25 October 2012

Abstract

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.

Keywords:
Echocardiography; Cardiac Mri; Ventricular septal rupture