Papillary muscle rupture: Correlation between echocardiography and surgical pathology

Chronic Papillary Muscle Rupture: 14-Year Survival without Surgical Treatment.

UNLABELLED Papillary muscle rupture is a life-threatening complication of myocardial infarction which is usually refractory to medical treatment. We present a very rare case of a 65-year-old woman who had a myocardial infarction and posteromedial papillary muscle rupture which was only treated with medical therapy, including her corresponding 14-year follow-up. However, surgical intervention is...

Role of echocardiography in diagnosis and management of complete papillary muscle rupture caused by myocardial infarction.

AIM To evaluate the usefulness of echocardiography in the diagnosis of complete rupture of papillary muscle. METHODS Transthoracic (TTE) and transesophageal echocardiography (TEE) was performed with the ATL 3000 HDI Ultrasound Inc (Bothell, WA, USA) with a 2.5 MHz transducer and 5-7 MHz multiplane phased array transducer. We are reporting about two patients (a 45 and a 51-year old male) with ...

Spontaneous rupture of a papillary muscle.

A n 86-year-old woman without any history of heart disease or trauma to the chest experienced an acute onset of dyspnea associated with a productive cough for 2 hours. Her medical history revealed that she was hypertensive for the past 20 years. Her blood pressure was 90 mm Hg in systole and 50 mm Hg in diastole. Immediately after admission, mechanical ventilation was initiated because there wa...

Papillary muscle rupture following myocardial infarction.

Massive mitral regurgitation secondary to acute ischemic papillary muscle rupture: the role of echocardiography.

Papillary muscle rupture is an infrequent but often fatal mechanical complication of acute myocardial infarction (AMI). We report the case of an AMI complicated by the development of an abrupt cardiogenic shock due to the rupture of the head of the postero-medial papillary muscle with echocardiographic demonstration of severe mitral regurgitation due to flail posterior mitral valve leaflet. Aft...