We report the incremental value of live/real-time three-dimensional transthoracic echocardiography (3DTTE) over two-dimensional transthoracic echocardiography (2DTTE) in making a definitive diagnosis of left ventricular endocardial rupture with myocardial dissection and contained apical epicardial rupture in an elderly male patient presenting with acute myocardial infarction. To the best of our knowledge, this has not been described previously.
Keywords: cardiac rupture; echocardiography; endocardial rupture; epicardial rupture; mechanical complications of myocardial infarction; myocardial dissection; myocardial infarction; myocardial rupture; three-dimensional echocardiography; transesophageal echocardiography; two-dimensional echocardiography.
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