Ventricular Septal Rupture and Right Ventricular Free Wall Dissection after Inferior Myocardial Infarction: A Case Report and Review of the Literature

Montreal Heart Institute, Montreal, Quebec, Canada.
Journal of the American Society of Echocardiography: official publication of the American Society of Echocardiography (Impact Factor: 4.06). 07/2010; 23(7):791.e1-3. DOI: 10.1016/j.echo.2009.11.020
Source: PubMed


Ventricular septal rupture (VSR) with dissection of the right ventricular free wall is an extremely rare complication after inferior myocardial infarction. Mortality is 100% without surgical treatment. The optimal surgical strategy remains unclear because of the limited number of cases, but repair of VSR alone might be equally effective as repair of VSR and right ventricular free wall reconstruction. Transesophageal echocardiography is an important adjunct to transthoracic echocardiography to establish the diagnosis.

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Available from: Denis Bouchard, Sep 11, 2014