[Doppler echocardiographic demonstration of ventricular septum rupture in acute myocardial infarct in an intensive care unit].
Rupture of the ventricular septum after acute transmural myocardial infarction occurred in four patients aged between 53 and 79 years. The rupture was verified by means of right-side cardiac catheterization. Only in two cases did two-dimensional echocardiography reveal the rupture; in both cases the rupture site located by echocardiography was confirmed at autopsy. In each of the four patients the left-to-right shunt could be identified by means of pulsed Doppler echocardiography which showed a turbulence in the right ventricle. Furthermore, the combination of two-dimensional echocardiography and Doppler echocardiography allowed a correct localization of the turbulent left-to-right flow in all cases. In view of these findings, the combination of Doppler echocardiography and two-dimensional echocardiography may be regarded as a suitable method for a readily available, non-invasive diagnosis of ventricular septum rupture in patients with acute myocardial infarction in an intensive care unit.
Potratz
J
J
Djonlagić
H
H
Diederich
K W
KW
D000368:Aged; D006328:Cardiac Catheterization; D004452:Echocardiography / Q000379:methods; D005260:Female; D006341:Heart Rupture / Q000175:diagnosis* / Q000209:etiology; D006346:Heart Septum; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*
Dopplerechokardiographischer Nachweis der Ventrikelseptumruptur bei akutem Myokardinfarkt auf der Intensivstation.