Abstract
Postinfarction ventricular septal defect (PIVSD) is challenging in both diagnosis and management. Especially in case of percutaneous treatment, a comprehensive echocardiographic assessment is needed. Bidimensional echocardiography enables localization and quantifi cation of intracardiac shunting aiding occluder devices proper choosing and positioning. Nevertheless real time three‐dimensional (3D) echocardiography usage presents additional benefi ts, defi ning in details the site of rupture and the surrounding cardiac structures. By 3D transesophageal guidance, delivery maneuvers are optimized and inappropriate expansion or position of the implanted device can be accurately assessed. In conclusion, real time 3D echocardiography emerges as a valid and advanced tool in diagnosis and management of PIVSD.
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