Ventricular septal rupture after myocardial infarction: Diagnosis by two-dimensional and pulsed doppler echocardiography
Rupture of the ventricular septum in the acute phase of myocardial infarction (MI) requires prompt recognition for correct management. The 2-dimensional and pulsed Doppler echocardiographic findings are reported from 11 patients with ventricular septal (VS) rupture. VS rupture was confirmed by cardi...
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| Veröffentlicht in: | The American journal of cardiology 1984-08, Vol.54 (3), p.277-281 |
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| container_title | The American journal of cardiology |
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| creator | Recusani, Franco Raisaro, Arturo Sgalambro, Aurelio Tronconi, Luigi Venco, Achille Salerno, Jorge Ardissino, Diego |
| description | Rupture of the ventricular septum in the acute phase of myocardial infarction (MI) requires prompt recognition for correct management. The 2-dimensional and pulsed Doppler echocardiographic findings are reported from 11 patients with ventricular septal (VS) rupture. VS rupture was confirmed by cardiac catheterization in 9 patients, surgery in 4 patients and necropsy examination in 3 patients. Two-dimensional echocardiography (echo) directly visualized the rupture in 7 patients and assessed the size and location of an associated aneurysm in 10. In all patients, M-mode pulsed Doppler echo allowed detection of the left-to-right shunting due to VS rupture, but failed to indicate the rupture site. M-mode pulsed Doppler echo was reliable for detecting VS rupture after MI. Conversely, 2-dimensional echo was less effective in the direct visualization of the rupture, but provided anatomic and functional information that was useful in medical and surgical management. Thus, the techniques are complementary and should be used in combination for the assessment of VS rupture in acute MI. |
| doi_str_mv | 10.1016/0002-9149(84)90182-6 |
| format | Article |
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The 2-dimensional and pulsed Doppler echocardiographic findings are reported from 11 patients with ventricular septal (VS) rupture. VS rupture was confirmed by cardiac catheterization in 9 patients, surgery in 4 patients and necropsy examination in 3 patients. Two-dimensional echocardiography (echo) directly visualized the rupture in 7 patients and assessed the size and location of an associated aneurysm in 10. In all patients, M-mode pulsed Doppler echo allowed detection of the left-to-right shunting due to VS rupture, but failed to indicate the rupture site. M-mode pulsed Doppler echo was reliable for detecting VS rupture after MI. Conversely, 2-dimensional echo was less effective in the direct visualization of the rupture, but provided anatomic and functional information that was useful in medical and surgical management. Thus, the techniques are complementary and should be used in combination for the assessment of VS rupture in acute MI.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/0002-9149(84)90182-6</identifier><identifier>PMID: 6465005</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Cardiology. Vascular system ; Coronary heart disease ; Echocardiography ; Female ; Heart ; Heart Aneurysm - diagnosis ; Heart Aneurysm - etiology ; Heart Rupture - diagnosis ; Heart Rupture - etiology ; Heart Septum ; Heart Ventricles ; Humans ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - complications</subject><ispartof>The American journal of cardiology, 1984-08, Vol.54 (3), p.277-281</ispartof><rights>1984</rights><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-c8c2d31855ecfcb64460ff5de4c3106b4c7cc47f677e75a7688fda3c0d6ab9693</citedby><cites>FETCH-LOGICAL-c452t-c8c2d31855ecfcb64460ff5de4c3106b4c7cc47f677e75a7688fda3c0d6ab9693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0002914984901826$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9649381$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6465005$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Recusani, Franco</creatorcontrib><creatorcontrib>Raisaro, Arturo</creatorcontrib><creatorcontrib>Sgalambro, Aurelio</creatorcontrib><creatorcontrib>Tronconi, Luigi</creatorcontrib><creatorcontrib>Venco, Achille</creatorcontrib><creatorcontrib>Salerno, Jorge</creatorcontrib><creatorcontrib>Ardissino, Diego</creatorcontrib><title>Ventricular septal rupture after myocardial infarction: Diagnosis by two-dimensional and pulsed doppler echocardiography</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Rupture of the ventricular septum in the acute phase of myocardial infarction (MI) requires prompt recognition for correct management. The 2-dimensional and pulsed Doppler echocardiographic findings are reported from 11 patients with ventricular septal (VS) rupture. VS rupture was confirmed by cardiac catheterization in 9 patients, surgery in 4 patients and necropsy examination in 3 patients. Two-dimensional echocardiography (echo) directly visualized the rupture in 7 patients and assessed the size and location of an associated aneurysm in 10. In all patients, M-mode pulsed Doppler echo allowed detection of the left-to-right shunting due to VS rupture, but failed to indicate the rupture site. M-mode pulsed Doppler echo was reliable for detecting VS rupture after MI. Conversely, 2-dimensional echo was less effective in the direct visualization of the rupture, but provided anatomic and functional information that was useful in medical and surgical management. Thus, the techniques are complementary and should be used in combination for the assessment of VS rupture in acute MI.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary heart disease</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Aneurysm - diagnosis</subject><subject>Heart Aneurysm - etiology</subject><subject>Heart Rupture - diagnosis</subject><subject>Heart Rupture - etiology</subject><subject>Heart Septum</subject><subject>Heart Ventricles</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - complications</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMGKFDEQhoO4rOPqGyjkIKKH1mQ6nU48CLK6Kix4Ua8hXansRro7bZJ2nbc34wxz3FNR_F_9FB8hzzh7wxmXbxlj20ZzoV8p8VozrraNfEA2XPW64Zq3D8nmhDwij3P-VVfOO3lOzqWQHWPdhvz9iXNJAdbRJppxKXakaV3KmpBaXzDRaRfBJhdqEGZvE5QQ53f0Y7A3c8wh02FHy11sXJhwzjWroJ0dXdYxo6MuLstYaxBuDz3xJtnldveEnHlbiafHeUF-XH36fvmluf72-evlh-sGRLctDSjYuparrkPwMEghJPO-cyig5UwOAnoA0XvZ99h3tpdKeWdbYE7aQUvdXpCXh94lxd8r5mKmkAHH0c4Y12wU50ryllVQHEBIMeeE3iwpTDbtDGdmL9zsbZq9TaOE-S_cyHr2_Ni_DhO609HRcM1fHHObwY4-2RlCPmFaCt0qXrH3Bwyriz8Bk8kQcAZ0ISEU42K4_49_mPqfjA</recordid><startdate>19840801</startdate><enddate>19840801</enddate><creator>Recusani, Franco</creator><creator>Raisaro, Arturo</creator><creator>Sgalambro, Aurelio</creator><creator>Tronconi, Luigi</creator><creator>Venco, Achille</creator><creator>Salerno, Jorge</creator><creator>Ardissino, Diego</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19840801</creationdate><title>Ventricular septal rupture after myocardial infarction: Diagnosis by two-dimensional and pulsed doppler echocardiography</title><author>Recusani, Franco ; Raisaro, Arturo ; Sgalambro, Aurelio ; Tronconi, Luigi ; Venco, Achille ; Salerno, Jorge ; Ardissino, Diego</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-c8c2d31855ecfcb64460ff5de4c3106b4c7cc47f677e75a7688fda3c0d6ab9693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Coronary heart disease</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Aneurysm - diagnosis</topic><topic>Heart Aneurysm - etiology</topic><topic>Heart Rupture - diagnosis</topic><topic>Heart Rupture - etiology</topic><topic>Heart Septum</topic><topic>Heart Ventricles</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Recusani, Franco</creatorcontrib><creatorcontrib>Raisaro, Arturo</creatorcontrib><creatorcontrib>Sgalambro, Aurelio</creatorcontrib><creatorcontrib>Tronconi, Luigi</creatorcontrib><creatorcontrib>Venco, Achille</creatorcontrib><creatorcontrib>Salerno, Jorge</creatorcontrib><creatorcontrib>Ardissino, Diego</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Recusani, Franco</au><au>Raisaro, Arturo</au><au>Sgalambro, Aurelio</au><au>Tronconi, Luigi</au><au>Venco, Achille</au><au>Salerno, Jorge</au><au>Ardissino, Diego</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ventricular septal rupture after myocardial infarction: Diagnosis by two-dimensional and pulsed doppler echocardiography</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>1984-08-01</date><risdate>1984</risdate><volume>54</volume><issue>3</issue><spage>277</spage><epage>281</epage><pages>277-281</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Rupture of the ventricular septum in the acute phase of myocardial infarction (MI) requires prompt recognition for correct management. The 2-dimensional and pulsed Doppler echocardiographic findings are reported from 11 patients with ventricular septal (VS) rupture. VS rupture was confirmed by cardiac catheterization in 9 patients, surgery in 4 patients and necropsy examination in 3 patients. Two-dimensional echocardiography (echo) directly visualized the rupture in 7 patients and assessed the size and location of an associated aneurysm in 10. In all patients, M-mode pulsed Doppler echo allowed detection of the left-to-right shunting due to VS rupture, but failed to indicate the rupture site. M-mode pulsed Doppler echo was reliable for detecting VS rupture after MI. Conversely, 2-dimensional echo was less effective in the direct visualization of the rupture, but provided anatomic and functional information that was useful in medical and surgical management. Thus, the techniques are complementary and should be used in combination for the assessment of VS rupture in acute MI.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>6465005</pmid><doi>10.1016/0002-9149(84)90182-6</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Cardiology. Vascular system Coronary heart disease Echocardiography Female Heart Heart Aneurysm - diagnosis Heart Aneurysm - etiology Heart Rupture - diagnosis Heart Rupture - etiology Heart Septum Heart Ventricles Humans Male Medical sciences Middle Aged Myocardial Infarction - complications |
| title | Ventricular septal rupture after myocardial infarction: Diagnosis by two-dimensional and pulsed doppler echocardiography |
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