Myocardial infarction in a 67-year-old man was complicated by an interventricular defect (Fig. 1) . The communication did not occur via a bretch in the septum, but rather via a tunnel through the inferior myocardial wall from the left to the right ventricle. This case combines patterns of ischemic myocardial rupture and interventricular septal defect.
Fig. 1
Images from left ventriculogram (A) and two-dimensional echocardiography (B) of the non-septal, tunneled interventricular communication running through the left ventricular wall and draining into the right ventricle. The arrows indicate the defect. LV, left ventricle; RV, right ventricle.
© Elsevier Science B.V. 2003
