case_images: PMC9733161_01
case_images: (A) Transthoracic echocardiogram of basal short-axis view showing inferoseptal ventricular septal rupture (VSR) and (B) color Doppler of inferoseptal VSR with left-to-right shunt. (C) Cardiac magnetic resonance imaging (CMR) of basal short-axis view showing inferoseptal VSR and (D) 2-chamber view of nonviable basal inferior wall. (E) Cardiac magnetic resonance of 3-dimensional reconstruction showing inferior aspect of the heart with inferior wall aneurysm (red asterisk). (F) Computed tomography of residual ventricular septal defect showing short-axis view and (G) 4-chamber view.
case_images: mdcvj-18-5-1168-g1.jpg
case_images: PMC9733161_01_mdcvj-18-5-1168-g1.jpg
case_images: F1
case_images: A transthoracic echocardiogram demonstrated large inferoseptal ventricular septal rupture (VSR) with left-to-right shunt and hyperdynamic left ventricle (Figure 1 A, B; Videos 1, 2). There was transmural myocardial infarction (Figure 1 C, D; Video 3) as well as an aneurysm at the diaphragmatic inferior wall of the left ventricle (LV) (Figure 1 E). He underwent cardiac computed tomography, which showed a small residual VSD (Figure 1 F, G; Video 4).