Journal of Cardiovascular Computed Tomography
Volume 4, Issue 5 , Pages 342-344, September 2010

Ventricular septal rupture and right ventricular intramyocardial dissection secondary to acute inferior myocardial infarction

  • Márcio Sommer Bittencourt, MD

      Affiliations

    • Internal Medicine Division, University Hospital, University of São Paulo Medical School, Av. Lineu Prestes 2565, Butantã, CEP: 05508-000, São Paulo, Brazil
    • Department of Cardiology, University of Erlangen-Nürnberg, Germany
    • Corresponding Author InformationCorresponding author.
    • ,
  • Martin Seltmann, MD

      Affiliations

    • Department of Cardiology, University of Erlangen-Nürnberg, Germany
    • ,
  • Gerd Muschiol

      Affiliations

    • Department of Cardiology, University of Erlangen-Nürnberg, Germany
    • ,
  • Stephan Achenbach, MD, FESC

      Affiliations

    • Department of Cardiology, University of Erlangen-Nürnberg, Germany

Received 12 January 2010; accepted 29 May 2010. published online 07 June 2010.

Abstract 

A 61-year-old female patient presented with sub acute myocardial infarction with an occluded right coronary artery on invasive evaluation and a ventricular septal rupture on echocardiogram. Cardiac computed tomography (CT) was performed to better define the septal anatomy. As the anatomy on cardiac CT was considered unfavorable for percutaneous intervention, the patient underwent successful surgical repair.

Keywords: Cardiac computed tomography, Myocardial disease, Myocardial infarction, Ventricular septal rupture

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 Conflict of interest: The authors report no conflicts of interest.

 Dr. Achenbach is supported by grant BMBF 01 EV 0708 from Bundesministerium für Bildung und Forschung (BMBF), Bonn, Germany.

PII: S1934-5925(10)00357-6

doi:10.1016/j.jcct.2010.05.019

Journal of Cardiovascular Computed Tomography
Volume 4, Issue 5 , Pages 342-344, September 2010

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