Figure 3
A) An apical 4 chamber view on TTE demonstrating left to right shunting across the interventricular septum on color Doppler (arrow); B) Short axis balanced steady-state free precession CMR image demonstrates rupture of the mid inferior septal segment (arrows) with free communication between the right (RV) and left (LV) ventricles; C) A trans-ventricular exposure of the diaphragmatic surface through the infarcted myocardium at the time of surgery. The infarct incision on the diaphragmatic surface of the heart reveals the VSR, with a free edge (arrow) that has already matured. RA, right atrium; LA, left atrium; RV, right ventricle; LV, left ventricle.