IMAGES IN CLINICAL MEDICINE. Ventricular Septal Defect after Acute Myocardial Infarction.

A 76-year-old man with a 1-week history of continuous chest pain presented to the ED with rapidly progressive dyspnea on exertion. Transthoracic echocardiography revealed a large, sharply demarcated interventricular septal defect with a turbulent left-to-right transseptal flow, shown in videos.