Image of the week - 08 January 2025

This 70-year-old patient, with a previous posterolateral ST-elevation myocardial infarction, recently had dyspnoea (NYHA III). What is the most probable diagnosis from these echocardiography images?

Anterior mitral leaflet perforation associated with double jet mitral regurgitation

Interventricular septal defect

Aortic insufficiency

Rupture of interventricular septum due to previous myocardial infarction

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