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Updated: May 17, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Ventricular septal rupture imaged with real-time three-dimensional transesophageal echocardiography: diagnosis at a
Angelo Squeri1, Rita Conti, Stefano Bosi
1UO Cardiologia, Maria Cecilia Hospital - GVM Care & Research, Via Corriera 1, Cotignola, Italy.
Abstract:
Ventricular septal rupture is a rare complication of acute myocardial infarction and its diagnosis can be really challenging especially in the case of complex lesions. Echocardiography is the technique of choice for the detection of mechanical complications following myocardial infarction. The introduction of three-dimensional echocardiography offers new imaging possibilities with precise localization and easiest definition of the defect anatomy. This information is of paramount importance in the setting of a percutaneous closure procedure. We describe a case where real-time three-dimensional transesophageal echocardiography correctly defined the complex anatomy of a postmyocardial infarction septal defect with an associated pseudoaneurysm.
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