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Complex Ventricular Septal Rupture with Dissection of the Right Ventricular Wall in Ischemic Context.
MedLine Citation:
PMID:  22329409     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
A 72-year-old man was admitted to the local hospital with non-ST elevation myocardial infarction. In the first 24 hours, a new onset apical murmur was heard. Transthoracic and transesophageal echocardiography showed interventricular septal (IVS) rupture and dissection of the right ventricle (RV) wall forming an echolucent pseudocavity that partially occupied the RV and communicated with the true RV cavity. Multislice computed tomography characterized in detail the IVS and RV wall dissection, and further showed the right coronary artery in the outer border of the RV and pseudocavity, excluding pericardial fluid. Despite surgical correction, progression to cardiogenic shock and death occurred 33 days after admission. (Echocardiography ****;**:E1-E4).
Authors:
Gustavo Pires de Morais; Nelson Paulo; Miguel Silva Vieira; Francisco Sampaio; Nuno Bettencourt; Sofia Cabral; José Ribeiro; Conceição Fonseca; Severo Torres; Luís Vouga; Vasco Gama
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-13
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  -     ISSN:  1540-8175     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012, Wiley Periodicals, Inc.
Affiliation:
Cardiovascular Interventional Unit, Department of Cardiology, Gaia Hospital Center, Vila Nova de Gaia, Portugal Department of Cardiothoracic Surgery, Gaia Hospital Center, Vila Nova de Gaia, Portugal Echocardiography Lab, Department of Cardiology, Porto Hospital Center, Porto, Portugal Echocardiography Lab, Department of Cardiology, Gaia Hospital Center, Vila Nova de Gaia, Portugal.
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