Evolution of echocardiographic modalities in detection of postmyocardial infarction ventricular septal defect and papillary muscle rupture: Study of 62 patients

Yehezkiel Kishon, Amjad Iqbal, Jae K. Oh, Bernard J. Gersh, William K. Freeman, James B. Seward, A. Jamil Tajik

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Abstract

Diagnostic sensitivity of various echocardiographic modalities was assessed for postinfarct ventricular septal defect (40 patients) and papillary muscle rupture (22 patients). Two-dimensional transthoracic echocardiography enabled direct visualization of ventricular septal defect in 68% and combined two-dimensional Doppler echocardiography was diagnostic in 95%. Papillary muscle rupture was directly visualized in 45%, and severe mitral regurgitation was present on Doppler color flow images in 100%. Transesophageal echocardiography was diagnostic in all nine patients (five with ventricular septal defect and four with papillary muscle rupture) in whom this modality was applied. Thus two-dimensional Doppler echocardiography (transthoracic and transesophageal if necessary) is highly sensitive in detecting postinfarct ventricular septal defect and papillary muscle rupture.

Original languageEnglish (US)
Pages (from-to)667-675
Number of pages9
JournalAmerican Heart Journal
Volume126
Issue number3 PART 1
DOIs
StatePublished - Sep 1993

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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