Aneurysms of the posterior interventricular septum with postinfarction ventricular septal defect. Echocardiographic identification

E. W. Rogers, R. D. Glassman, Harvey Feigenbaum, A. E. Weyman, R. W. Godley

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Using real-time, two-dimensional echocardiographic techniques, we recently studied 6 consecutive patients with acute myocardial infarction complicated by rupture of the posterior interventricular septum. Each patient experienced an inferior wall myocardial infarction, with a prior anteroseptal infarction in one. In each case, the clinical course was punctuated by the onset of heart failure and a low output state prior to, or coincident with, the appearance of a pansystolic murmur. During two-dimensional echocardiographic study, all 6 were found to have a discrete aneurysm of the posterior interventricular septum. Septal dyskinesia produced bulging of the interventricular septum far into the right ventricular cavity during systole. Our findings suggest that (1) septal dyskinesis and aneurysm formation may be a valuable sign in diagnosing ventricular septal perforation; (2) the reported incidence of postinfarction septal aneurysm at surgery or autopsy may significantly underestimate its true frequency; and (3) septal dyskinesis must be considered as a contributing factor to the compromised hemodynamic status of patients with postinfarction ventricular septal rupture.

Original languageEnglish
Pages (from-to)741-746
Number of pages6
JournalChest
Volume78
Issue number5
StatePublished - 1980

Fingerprint

Ventricular Heart Septal Defects
Ventricular Septal Rupture
Aneurysm
Inferior Wall Myocardial Infarction
Systole
Dyskinesias
Infarction
Rupture
Autopsy
Heart Failure
Hemodynamics
Myocardial Infarction
Incidence
Aneurysm Of Interventricular Septum

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Aneurysms of the posterior interventricular septum with postinfarction ventricular septal defect. Echocardiographic identification. / Rogers, E. W.; Glassman, R. D.; Feigenbaum, Harvey; Weyman, A. E.; Godley, R. W.

In: Chest, Vol. 78, No. 5, 1980, p. 741-746.

Research output: Contribution to journalArticle

Rogers, E. W. ; Glassman, R. D. ; Feigenbaum, Harvey ; Weyman, A. E. ; Godley, R. W. / Aneurysms of the posterior interventricular septum with postinfarction ventricular septal defect. Echocardiographic identification. In: Chest. 1980 ; Vol. 78, No. 5. pp. 741-746.
@article{4ce7e9641be145b5a7a7b7252dff088e,
title = "Aneurysms of the posterior interventricular septum with postinfarction ventricular septal defect. Echocardiographic identification",
abstract = "Using real-time, two-dimensional echocardiographic techniques, we recently studied 6 consecutive patients with acute myocardial infarction complicated by rupture of the posterior interventricular septum. Each patient experienced an inferior wall myocardial infarction, with a prior anteroseptal infarction in one. In each case, the clinical course was punctuated by the onset of heart failure and a low output state prior to, or coincident with, the appearance of a pansystolic murmur. During two-dimensional echocardiographic study, all 6 were found to have a discrete aneurysm of the posterior interventricular septum. Septal dyskinesia produced bulging of the interventricular septum far into the right ventricular cavity during systole. Our findings suggest that (1) septal dyskinesis and aneurysm formation may be a valuable sign in diagnosing ventricular septal perforation; (2) the reported incidence of postinfarction septal aneurysm at surgery or autopsy may significantly underestimate its true frequency; and (3) septal dyskinesis must be considered as a contributing factor to the compromised hemodynamic status of patients with postinfarction ventricular septal rupture.",
author = "Rogers, {E. W.} and Glassman, {R. D.} and Harvey Feigenbaum and Weyman, {A. E.} and Godley, {R. W.}",
year = "1980",
language = "English",
volume = "78",
pages = "741--746",
journal = "Chest",
issn = "0012-3692",
publisher = "American College of Chest Physicians",
number = "5",

}

TY - JOUR

T1 - Aneurysms of the posterior interventricular septum with postinfarction ventricular septal defect. Echocardiographic identification

AU - Rogers, E. W.

AU - Glassman, R. D.

AU - Feigenbaum, Harvey

AU - Weyman, A. E.

AU - Godley, R. W.

PY - 1980

Y1 - 1980

N2 - Using real-time, two-dimensional echocardiographic techniques, we recently studied 6 consecutive patients with acute myocardial infarction complicated by rupture of the posterior interventricular septum. Each patient experienced an inferior wall myocardial infarction, with a prior anteroseptal infarction in one. In each case, the clinical course was punctuated by the onset of heart failure and a low output state prior to, or coincident with, the appearance of a pansystolic murmur. During two-dimensional echocardiographic study, all 6 were found to have a discrete aneurysm of the posterior interventricular septum. Septal dyskinesia produced bulging of the interventricular septum far into the right ventricular cavity during systole. Our findings suggest that (1) septal dyskinesis and aneurysm formation may be a valuable sign in diagnosing ventricular septal perforation; (2) the reported incidence of postinfarction septal aneurysm at surgery or autopsy may significantly underestimate its true frequency; and (3) septal dyskinesis must be considered as a contributing factor to the compromised hemodynamic status of patients with postinfarction ventricular septal rupture.

AB - Using real-time, two-dimensional echocardiographic techniques, we recently studied 6 consecutive patients with acute myocardial infarction complicated by rupture of the posterior interventricular septum. Each patient experienced an inferior wall myocardial infarction, with a prior anteroseptal infarction in one. In each case, the clinical course was punctuated by the onset of heart failure and a low output state prior to, or coincident with, the appearance of a pansystolic murmur. During two-dimensional echocardiographic study, all 6 were found to have a discrete aneurysm of the posterior interventricular septum. Septal dyskinesia produced bulging of the interventricular septum far into the right ventricular cavity during systole. Our findings suggest that (1) septal dyskinesis and aneurysm formation may be a valuable sign in diagnosing ventricular septal perforation; (2) the reported incidence of postinfarction septal aneurysm at surgery or autopsy may significantly underestimate its true frequency; and (3) septal dyskinesis must be considered as a contributing factor to the compromised hemodynamic status of patients with postinfarction ventricular septal rupture.

UR - http://www.scopus.com/inward/record.url?scp=0019162639&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0019162639&partnerID=8YFLogxK

M3 - Article

C2 - 7428457

AN - SCOPUS:0019162639

VL - 78

SP - 741

EP - 746

JO - Chest

JF - Chest

SN - 0012-3692

IS - 5

ER -