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Images in cardiology |
matthias.kirsch@hmn.aphp.fr
Keywords: Images in cardiology
| The first 100% of the full text of this article appears below. |
A 56-year old man developed a cardiogenic shock 24 hours after a postero-inferior myocardial infarction. The coronary angiogram revealed a dominant right coronary artery occluded at the origin of its third segment. Transoesophageal echocardiography showed a complex basal ventricular septal rupture at the level of the membranous septum (panels A and B). The rupture was accompanied by an extensive haemorrhage into the muscular ventricular septum and into the interatrial septum, creating a left atrial dissection (panel C).
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