Color flow mapping in the differentiation of ventricular septal rupture and papillary muscle rupture following myocardial infarction

Papillary muscle rupture following myocardial infarction.

Ventricular septal rupture after acute myocardial infarction.

Ventricular septal rupture is a rare complication of acute myocardial infarction with important hemodynamic consequences. Spontaneous closure is extremely rare. Without a rapid diagnosis and correction by surgical intervention, the short-term mortality of these patients is higher than 90%. We report the case of a patient with acute myocardial infarction and a ventricular septal rupture that was...

Papillary Muscle Rupture after Acute Myocardial Infarction

Mitral regurgitation (MR) after myocardial infarction is a relatively common complication and its incidence is about 50%. One cause of MR after myocardial infarction is papillary muscle rupture, and this situation usually requires urgent surgical treatment. Since prognosis is favorable with early surgical intervention, early diagnosis of the underlying cause of mitral regurgitation is very impo...

Delayed papillary muscle rupture following repair of post-infarction ventricular septal defect.

Ventricular septal defect (VSD) and papillary muscle rupture are severe complications of myocardial infarction which are usually observed individually although their simultaneous occurrence has been observed in pathological studies. An 82-year-old female underwent repair of a post-infarction VSD and 13 days later required mitral valve replacement due to delayed papillary muscle rupture. Mechani...

Diagnosis of ventricular septal rupture after myocardial infarction: value of colour flow mapping.

Twenty patients with ventricular septal rupture after myocardial infarction were investigated by cross sectional echocardiography with integrated pulsed and continuous wave Doppler and colour flow mapping. Confirmatory cardiac catheterisation was performed in 12 patients. Eighteen patients had surgical repair with inspection of the defect. Six patients in whom recurrent ventricular septal ruptu...