PMC4383428_01
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.
CRIS2015-584795.001.jpg
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fig1
Transthoracic echocardiography showed a left ventricular septum rupture (Figure 1); then, she was takenin for emergency surgery.
(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.
CRIS2015-584795.002.jpg
PMC4383428_01_CRIS2015-584795.002.jpg
fig2
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.