case_images: PMC4383428_01
case_images: Modified apical four-chambered view in transthoracic echocardiography showing the defect (b) (marked by white arrow) and color jet (a) through it. LV: left ventricle, RV: right ventricle, RA: right atrium, and IMD: intramyocardial dissection area.
case_images: CRIS2015-584795.001.jpg
case_images: PMC4383428_01_CRIS2015-584795.001.jpg
case_images: fig1
case_images: Transthoracic echocardiography showed a left ventricular septum rupture (Figure 1); then, she was takenin for emergency surgery.
case_images: (a) Site of free wall rupture in the posterolateral wall surrounded by the intramyocardial dissecting plan (intraoperative view). (b) Intraoperative view of rupture side contained by myocardial adhesions.
case_images: CRIS2015-584795.002.jpg
case_images: PMC4383428_01_CRIS2015-584795.002.jpg
case_images: fig2
case_images: During the operation, following adhesion's removal, a 2 x 3 cm2 rupture zone in the middle and the apical segment of posterolateral wall and a wide intramyocardial dissecting area around it extending into basal segments were detected (Figure 2) and the ventricular septum was intact.