Pseudoaneurysm and ventricular septal rupture complicated with inferior myocardial infarction diagnosed by two-dimensional and Doppler echocardiography: case report.
A 72-year-old woman with inferior myocardial infarction presented with both a pseudoaneurysm and a ventricular septal rupture detected by two-dimensional and Doppler echocardiography. The pseudoaneurysm originated from the junctional area between the inferior portion of the ventricular septum and posterior left ventricular wall. The short-axis view of two-dimensional echocardiography revealed an abrupt discontinuity of the junctional area and an echo-free space behind the left ventricular cavity. The communication orifice was 5 mm wide. Color Doppler echocardiography showed a left-to-right shunt flow from the pseudoaneurysm to the right ventricle was visualized. Combined use of two-dimensional and color Doppler echocardiography was useful for detecting a pseudoaneurysm resulting in rupture of the ventricular septum.
Kawai
J
J
Division of Cardiology, Kobe General Hospital.
Yoshikawa
J
J
Yoshida
K
K
Hozumi
T
T
Akasaka
T
T
Syakudo
M
M
Takagi
T
T
Tanaka
N
N
Yagi
T
T
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging*; D004452:Echocardiography / Q000379:methods*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006322:Heart Aneurysm / Q000000981:diagnostic imaging*; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging*