PMC4763561_01
EKG showing sinus tachycardia with q waves and ST segment elevations of almost 2 mm in leads III and aVF (arrow) along with ST segment depressions in I and aVL leads. This implies that there is possible inferior wall infarction. Left atrial enlargement also noted.
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There was also left atrial enlargement (Fig. 1).
Echocardiogram with color Doppler displaying a ventricular septal defect postmyocardial infarction (arrow).
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At the tertiary care hospital, transesophageal echocardiogram (TEE) was done, which revealed large VSD with a dimension of 1.38x0.9 cm2 and an area of 0.9 cm2 located in the posterior wall of ventricle (Fig. 2).
Transesophageal echocardiogram showing ventricular septal defect (arrow) with size.
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TEE also showed mildly reduced RV systolic function and moderate to severe tricuspid regurgitation (Figs. 3 and 4).
3D echocardiogram showing ventricular septal defect (red arrow) and necrosis (black arrow).
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TEE also showed mildly reduced RV systolic function and moderate to severe tricuspid regurgitation (Figs. 3 and 4).