title: Acute myocardial infarction complication diagnosed by three-dimensional echocardiography.
abstract: Transthoracic echocardiography is the modality of choice for the bedside diagnosis of acute myocardial infarction mechanical complications. We report the case of a ventricular septal rupture occurring soon after inferior myocardial infarction, revascularized by primary angioplasty. This challenging diagnosis was elucidated by 3D-echocardiography as 2D-imaging was not conclusive. This case demonstrates the importance of 3D-echocardiography in a cardiac intensive care setting. It provided additional information to 2D-echocardiography by identifying and locating post-acute myocardial infarction (AMI) septal rupture with implications for planning surgery.
authors.affiliation: Department of Cardiology I, CHLN,EPE- Hospital de Santa Maria, Av. Prof. Egas Moniz, Lisbon, Portugal. silvamarques.j@gmail.com
authors.forename: João Silva
authors.initials: JS
authors.lastname: Marques
authors.forename: Cláudia
authors.initials: C
authors.lastname: Jorge
authors.forename: Susana Robalo
authors.initials: SR
authors.lastname: Martins
authors.forename: Ana
authors.initials: A
authors.lastname: Feijão
authors.forename: António Nunes
authors.initials: AN
authors.lastname: Diogo
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D019560:Echocardiography, Three-Dimensional; D005260:Female; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery*