about 60 y old patient with condition after ablation of high symptomatic ventricular extrasystole in inferior mid-septale position by EPU 2 weeks ago.
The patient have had dyspnoea and orthpnoea for 2 weeks: in TTE I could see the echocardiographic picture of a VSD. To evaluate and measure the Qp/ Qs-quotient via VTI in RVOT and LVOT I did a TEE. You can see the echocardiographic picture of an aneurysm in mid-septale inferior position with perforation.
The haemodynamic measurement obtained following information: right-ventricular stroke-volumen about 100 ml; LV-stroke-volume about 40 ml, shunt-volume about 60 ml. Qp/ Qs > 2
We have the suspicion of a peri-/postinterventinal VSD caused by ablation in the course of EPU 2 weeks ago.