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A 58-year-old man developed a rupture of the interventricular septum after acute posterior myocardial infarction. The two-dimensional echocardiographic features of the ruptured interventricular septum included akinesia of posterior wall, hyperkinesia of the interventricular septum and anterior wall, inferior basal septum aneurysm and visualization of the ventricular septum defect. Injection of echocardiographic contrast (Gelatin solution) into the right atrium showed a small right-to-left shunt, injection into the left ventricle (during heart catheterization) demonstrated massive crossing of echocontrast similar to the results of cineventriculography of the left ventricle. By coloured Doppler-echocardiography the left-to-right shunt could directly be visualized, as well as a diastolic right-to-left shunt. By calculation of pressure gradient using adjusted continuous wave Doppler, estimation of right ventricular pressure was possible. The results demonstrated that colour Doppler in addition to two-dimensional echocardiography has an important diagnostic role in patients with complications of myocardial infarction.
R Erbel, and
S Mohr-Kahaly, and
M Drexler, and
N Wittlich, and
H Kersting, and
S Iversen, and
H Oelert, and
J Meyer
January 1992,
Deutsche medizinische Wochenschrift (1946),
R Erbel, and
S Mohr-Kahaly, and
M Drexler, and
N Wittlich, and
H Kersting, and
S Iversen, and
H Oelert, and
J Meyer
December 1990,
Giornale italiano di cardiologia,
R Erbel, and
S Mohr-Kahaly, and
M Drexler, and
N Wittlich, and
H Kersting, and
S Iversen, and
H Oelert, and
J Meyer
January 1983,
Southern medical journal,
R Erbel, and
S Mohr-Kahaly, and
M Drexler, and
N Wittlich, and
H Kersting, and
S Iversen, and
H Oelert, and
J Meyer
August 1984,
The American journal of cardiology,
R Erbel, and
S Mohr-Kahaly, and
M Drexler, and
N Wittlich, and
H Kersting, and
S Iversen, and
H Oelert, and
J Meyer
May 1990,
Journal of the American College of Cardiology,
R Erbel, and
S Mohr-Kahaly, and
M Drexler, and
N Wittlich, and
H Kersting, and
S Iversen, and
H Oelert, and
J Meyer
January 1988,
Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology,
R Erbel, and
S Mohr-Kahaly, and
M Drexler, and
N Wittlich, and
H Kersting, and
S Iversen, and
H Oelert, and
J Meyer
January 1988,
Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology,
R Erbel, and
S Mohr-Kahaly, and
M Drexler, and
N Wittlich, and
H Kersting, and
S Iversen, and
H Oelert, and
J Meyer
September 1985,
Journal of cardiography,
R Erbel, and
S Mohr-Kahaly, and
M Drexler, and
N Wittlich, and
H Kersting, and
S Iversen, and
H Oelert, and
J Meyer
April 1984,
The American journal of cardiology,
R Erbel, and
S Mohr-Kahaly, and
M Drexler, and
N Wittlich, and
H Kersting, and
S Iversen, and
H Oelert, and
J Meyer
April 1988,
Revista espanola de cardiologia,
