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Echocardiographic Diagnosis of Post-Myocardial Infarction Interventricular Septal Dissection With Mobile Thrombus
Yating Liu1, Jiayu Zhao2, Fang Zhang1
1Department of Ultrasound, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, China.
A 59-year-old male presented with an acute embolic stroke. Subsequent workup revealed an acute anterior ST-elevation MI. Echocardiography demonstrated a large (82 × 32 mm) dissection cavity in the mid-to-apical septum, containing a mobile thrombus, which communicated with the left ventricular cavity through a 2-mm endocardial tear. Despite conservative management, the patient experienced sudden cardiac death (SCD).
A 59-year-old male presented with an acute embolic stroke. Subsequent workup revealed an acute anterior ST-elevation MI. Echocardiography demonstrated a large (82 × 32 mm) dissection cavity in the mid-to-apical septum, containing a mobile thrombus, which communicated with the left ventricular cavity through a 2-mm endocardial tear. Despite conservative management, the patient experienced sudden cardiac death (SCD).
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