Echocardiographic Contrast Delineation of Left and Right Ventricular Dissection: Insights on Broken Boundaries
Recommended Citation
Block C, Gandhi N, and Cohen G. Echocardiographic Contrast Delineation of Left and Right Ventricular Dissection: Insights on Broken Boundaries. JACC Case Rep 2026;31(8):106720.
Document Type
Article
Publication Date
2-25-2026
Publication Title
JACC Case Rep
Keywords
contrast echocardiography; left ventricular septal dissection; myocardial infarction; right ventricular dissection; ventricular septal defect
Abstract
BACKGROUND: Post-myocardial infarction (MI) ventricular septal defect (VSD) is a life-threatening complication that may involve ventricular septal dissection. There are few reports describing combined VSD and right ventricular free wall dissection or the use of echocardiographic contrast to delineate this pathology.
CASE SUMMARY: A 77-year-old patient with a history of coronary artery bypass presented with MI. Two-dimensional echocardiography and echocardiographic contrast-enhanced imaging helped to delineate a VSD with a complex dissection network extending into the right ventricular free wall.
DISCUSSION: This case underscores the importance of echocardiographic contrast agents for prompt and thorough evaluation of post-MI dissection networks, which was critical for facilitating diagnosis and guiding clinical decision-making.
TAKE-HOME MESSAGE: This case highlights the use of echocardiographic contrast agents to delineate a complex dissection network involving both ventricles originating from a VSD in a patient after MI.
PubMed ID
41546665
ePublication
ePub ahead of print
Volume
31
Issue
8
First Page
106720
Last Page
106720
