Eur J Cardiothorac Surg 2003;23:103
© 2003 Elsevier Science NL
Images in cardio-thoracic surgery |
Ischemic non-septal interventricular communication
Martin Misfeld,
Ernst-G. Kraatz,
Hans-H. Sievers*
Clinic of Cardiac Surgery, University Clinic of Luebeck, Ratzeburger Allee 160, 23538 Luebeck, Germany
Received 12 July 2002;
received in revised form 18 September 2002;
accepted 1 October 2002.
* Corresponding author. Tel.: +49-451-500-2108; fax: +49-451-500-2051
e-mail: sievers{at}medinf.mu-luebeck.de
Key Words: Myocardial ischemia • Ventricular septal defect
Myocardial infarction in a 67-year-old man was complicated by an interventricular defect (Fig. 1)
. The communication did not occur via a bretch in the septum, but rather via a tunnel through the inferior myocardial wall from the left to the right ventricle. This case combines patterns of ischemic myocardial rupture and interventricular septal defect.
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Fig. 1. Images from left ventriculogram (A) and two-dimensional echocardiography (B) of the non-septal, tunneled interventricular communication running through the left ventricular wall and draining into the right ventricle. The arrows indicate the defect. LV, left ventricle; RV, right ventricle.
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