Septal rupture with right ventricular wall dissecting haematoma communicating with left ventricle after inferior myocardial infarction.
We report the case of an 86-year-old man referred for abdominal pain and ECG signs of inferior myocardial infarction. Transthoracic, transoesophageal and contrast echocardiographs showed a septal intra-mural haematoma, dissecting the right ventricle wall and partially obliterating the right ventricle lumen. A patent communication with left ventricle with extensive wall thrombosis was present at Doppler examination within dissecting haematoma. Although the patient refused any surgical treatment, a 3-month follow-up was uneventful.
De Gennaro
Luisa
L
Cardiology Department, 'San Giacomo' Hospital, Monopoli, Bari, Italy.
Brunetti
Natale Daniele
ND
Ramunni
Giovanni
G
Buquicchio
Francesco
F
Corriero
Francesco
F
De Tommasi
Elisabetta
E
Troccoli
Rossella
R
Grimaldi
Antonio
A
Di Biase
Matteo
M
Boscia
Filippo
F
D000369:Aged, 80 and over; D009202:Cardiomyopathies / Q000000981:diagnostic imaging / Q000209:etiology*; D003287:Contrast Media; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D012421:Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology
D003287:Contrast Media