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European Journal of Echocardiography Advance Access originally published online on August 30, 2008
European Journal of Echocardiography 2009 10(2):329-331; doi:10.1093/ejechocard/jen231
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org.

Ventricular double rupture case of long-term survival without surgical repair

M. Emin Kalkan, Sakir Arslan*, Serdar Sevimli and H. Yekta Gurlertop

Department of Cardiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey

Received 11 June 2008; accepted after revision 8 August 2008; online publish-ahead-of-print 30 August 2008.

* Corresponding author. Tel: +90 442 3166333; fax: +90 442 3166340. E-mail address: drsakirarslan{at}gmail.com


  Abstract

A 78-year-old asymptomatic male with a history of coronary artery disease was admitted for preoperative cardiovascular evaluation before noncardiac surgery. Auscultation revealed a Grade 3 holosystolic murmur at the left parasternal area. Transthoracic echocardiography documented ventricular double rupture (VDR), consisting of ventricular septal rupture, and rupture of the apical part of the left ventricular free wall with pseudoaneurysm formation. Hospital records revealed that VDR had been noticed 7 years ago during hospitalization due to anterior myocardial infarction. However, recommended surgical repair could not be performed because of the patient's refusal.

Keywords: Ventricular double rupture; Ventricular free wall rupture; Ventricular septal rupture; Pseudoaneurysm


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