Abstract

Fig. 1. Transthoracic echocardiogram demonstrating an echolucent area (arrow) adjacent to the apical right ventricular free wall in the standard apical four-chamber view (top). Prior to contrast injection (middle), a serpiginous echolucent tract (arrow) appears to originate from the right ventricular free wall. Following an intravenous agitated saline contrast injection (bottom), the tract becomes hyperechoic as it fills with agitated saline (dashed line), confirming a right ventricular free wall rupture4 (LA: left atrium; LV: left ventricle; RA: right atrium; RV: right ventricle). Fig. 2. Computed tomography of the thorax with contrast demonstrating right ventricular rupture with extravasation of contrast into the anterior mediastinum (arrow).

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