Two cases of ventricular septal rupture with septal dissection with a complex vsd after acute myocardial infartion
Case 1:
Acute inferior wall infarction with rupture of inferobasal septum with dissection of basal half of ventricular septum with formation of a complex tunnel type of vsd and rupture of rv side of septal wall at a considerable distance from the rupture site of left side of septum with left to right shunt.
Click here to see videos
  
Case 2:
Almost a similar case but with more marked and more extensive septal dissection after acute inferobasal infarct.
Click here to see videos
Review of literature
Septal ruptue and dissections following acute mi are more common with inferior-basal infarctions. In apical 4 chamber views in all hearts a thin but very echogenic line can be seen along the centre of ventricular septum which is believed to originate due to opposite
Myocardial fibre direction on right and left halves of ventricular
Septum with fibres diverging at this plane. Septal dissection occurs along this plane. It is a serious complication of acute mi and usually carries a grave prognosis.
From:
Dr. C.S. Agrawal, M.D.
Echo-Lab, CHL Apollo Hospitals
Indore.
|
