IMPENDING VENTRICULAR SEPTAL DEFECT: IS IT REASONABLE TO BE CONSERVATIVE?
A 72 year-old men admitted for a two week old myocardial infarction had a septal intra-myocardial cavity at first echocardiographic evaluation (A,B). Cardiac magnetic resonance showed extensive no-reflow on the septum (C). Owing to clinical stability, a conservative strategy was decided. Without a complete VSD (D), fibrosis filled the gap in two weeks (E), followed by a septal remodelling scar (F).
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