Usefulness of transesophageal echocardiography in the diagnosis of ventricular septal rupture secondary to acute myocardial infarction

Ballal, Raj S.; Sanyal, Rajat S.; Nanda, Navin C.; Mahan, Edward F.

doi:10.1016/0002-9149(93)90814-s

Cited by 26 publications

(13 citation statements)

References 11 publications

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“…Two‐dimensional transthoracic echocardiography (2DTTE) is the standard imaging modality used to identify the presence of a VSR . Two‐dimensional transthoracic echocardiography (2DTEE) has frequently been used in conjunction with 2DTTE, especially in patients with poor acoustic windows and also to guide its closure in both percutaneous and intraoperative settings . Recently, the use of 2D imaging has been supplemented by 3DTTE in a few case studies reported in the literature .…”

Section: Discussionmentioning

confidence: 99%

“…Classically, two‐dimensional transthoracic echocardiography (2DTTE) has been used to diagnose VSR . Two‐dimensional transesophageal echocardiography (2DTEE) has been used in conjunction with 2DTTE to characterize the location and size of a rupture more accurately and is used to guide in VSR closure either percutaneously or intraoperatively . However, these modalities are limited by two‐dimensional views only.…”

Section: Introductionmentioning

confidence: 99%

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Incremental value of live/real time three‐dimensional transesophageal echocardiography in the assessment of ventricular septal rupture following acute myocardial infarction

et al. 2017

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Ventricular septal rupture is a serious complication following acute myocardial infarctions and is associated with a significant mortality rate. Classically, two-dimensional transthoracic echocardiography has been used to diagnose this complication and visualize its location. Two-dimensional transesophageal echocardiography has supplemented the transthoracic approach by providing more accurate assessment of the defect size and in guiding closure both percutaneously and intraoperatively. This modality, however, is limited to two-dimensional views only, and a greater breadth of information is instead available through the use of three-dimensional transesophageal echocardiography. We present a series of 11 patients in which live/real time three-dimensional transesophageal echocardiography offered incremental benefits over two-dimensional imaging alone.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incremental value of live/real time three‐dimensional transesophageal echocardiography in the assessment of ventricular septal rupture following acute myocardial infarction

et al. 2017

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“…In comparison to trans-thoracic echocardiography (TTE), TOE offers high resolution imaging and evaluation of the entire ventricular septum 9. Two dimensional and colour Doppler echocardiography are sensitive but their main limitation is the presence of small acoustic windows in some patients 9…”

Section: Discussionmentioning

confidence: 99%

Acute ischaemic ventricular inferoseptal defect in a pyretic patient: a diagnostic challenge

Muscat

Laverse²,

Haq³

et al. 2011

Case Reports

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BACKGROUNDVentricular septal defect (VSD) is an important and often fatal consequence of myocardial infarction (MI). We present an atypical case of a postinfarct VSD with a late presentation. In the era of primary coronary intervention and advancements in peri MI therapy, the incidence of complications, such as VSD, has decreased signifi cantly. Delayed or indeed misdiagnosis can occur as a result of low clinical suspicion and an unfamiliarity with atypical presentations. This case serves as an important reminder of potentially fatal sequelae of MI and VSD, thus allowing for prompt recognition and early intervention. CASE PRESENTATIONA 78-year-old man presented with a 5-day progressive history of vomiting, dyspnoea and fever. He denied any history of chest pain. He had no signifi cant medical history or family history and was on no regular medications. He had smoked variable amounts of cigarettes in the past.On examination, he was febrile, tachycardic, hypotensive and peripherally cyanosed. There was a systolic murmur in the left lower sternal area. The patient deteriorated over 4 days with a multiple organ dysfunction syndrome and was managed in the critical care unit.

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“…Poor prognostic factors for VSR have been suggested, such as RV dysfunction [2,5,15,16], posterior or inferior location of infarction compared with anterior location [2,7,8,17], pathologically complex type [15], preoperative cardiogenic shock [2,6,7,16], lack of improvement in hemodynamic status in spite of inotropic support [5], shorter period from infarction to rupture [6], shorter period from infarction to surgery [3,6,8], total occlusion of the infarctrelated artery [4], advanced age [2], and gender (female predominance) [2]. The posterior or inferior location as a risk factor is related to greater technical difficulties and higher incidence of RV dysfunction [8].…”

Section: Discussionmentioning

confidence: 99%

Anesthesia for repair of ventricular septal rupture after acute myocardial infarction

Iida¹,

Kajiwara²,

Saeki³

et al. 2007

Journal of Clinical Anesthesia

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Usefulness of transesophageal echocardiography in the diagnosis of ventricular septal rupture secondary to acute myocardial infarction

Cited by 26 publications

References 11 publications

Incremental value of live/real time three‐dimensional transesophageal echocardiography in the assessment of ventricular septal rupture following acute myocardial infarction

Incremental value of live/real time three‐dimensional transesophageal echocardiography in the assessment of ventricular septal rupture following acute myocardial infarction

Acute ischaemic ventricular inferoseptal defect in a pyretic patient: a diagnostic challenge

Anesthesia for repair of ventricular septal rupture after acute myocardial infarction

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