Abstract
An 82-year-old female was admitted for syncope with previous history of chest pain. Physical examination revealed low blood pressure and an apical murmur. Echocardiogram: sinus rhythm and ST-segment elevation leads II, III and, aVF. Transthoracic echocardiogram was of poor technical quality because of obesity. Multislice computed tomography (MCT) was performed, which revealed a dilated right ventricle and apical ventricular septum rupture (Fig. 1).1 Coronary angiography revealed severe left coronary atherosclerosis and occlusion of the right coronary artery. Shunt from the left to the right ventricle was confirmed by angiography (Fig. 2). Multislice computed tomography is a useful tool for patients with myocardial infarction and murmur.
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