EURORAD ESR

Case 13497

Ventricular septal rupture complicating acute myocardial infarction

Author(s)
Arthur DAVID

Centre Hospitalier de Saint-Nazaire
 
Patient
male, 83 year(s)
 
 
  • Figure 1
    Unenhanced thoracic CT

    Axial non-enhanced thoracic CT revealing pericardial effusion with high attenuation suggesting haemopericardium.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 2
    Contrast-enhanced thoracic CT

    Short-axis view of contrast-enhanced thoracic CT at arterial phase showing a defect in the interventricular septum (arrow).

     
    Cardiac; CT; Diagnostic procedure; Ischaemia / Infarction;
     
     
  • Figure 3
    Contrast-enhanced thoracic CT

    Axial thoracic CT with 70 seconds delay demonstrating hypoenhancement in the inferobasal region of the ventricular septum consistent with acute myocardial infarction (arrow)

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 4
    Contrast-enhanced abdominal CT

    Axial contrast-enhanced abdominal CT showing contrast reflux into hepatic veins suggesting right-ventricular failure.

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
Axial non-enhanced thoracic CT revealing pericardial effusion with high attenuation suggesting haemopericardium.
 
Short-axis view of contrast-enhanced thoracic CT at arterial phase showing a defect in the interventricular septum (arrow).
 
Axial thoracic CT with 70 seconds delay demonstrating hypoenhancement in the inferobasal region of the ventricular septum consistent with acute myocardial infarction (arrow)
 
Axial contrast-enhanced abdominal CT showing contrast reflux into hepatic veins suggesting right-ventricular failure.
 
 
 
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