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      Transesophageal Echocardiographic Findings in Partial and Complete Papillary Muscle Rupture Complicating Acute Myocardial Infarction

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          Abstract

          Papillary muscle rupture occurred in two patients with recent inferior myocardial infarction. In one case with partial rupture transesophageal echocardiography in the standard four-chamber view did not visualize the rupture and in the second case with complete rupture it provided incomplete diagnostic information. A not previously described transgastric longitudinal scanning of the left ventricle provided complete delineation of the lesion and it was of great value in the diagnosis and management of this potentially lethal complication. Both patients were operated upon and had a favourable outcome.

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          Author and article information

          Journal
          Journal ID (publisher-id): CRD
          Journal ID (nlm-ta): Cardiology
          Journal ID (doi): 10.1159/issn.0008-6312
          Title: Cardiology
          Publisher: S. Karger AG
          ISSN (Print): 0008-6312
          ISSN (Electronic): 1421-9751
          Publication date Subscription-year: 1992
          Publication date (Print): 1992
          Publication date (Electronic): 14 November 2008
          Volume: 81
          Issue: 1
          Pages: 54-58
          Affiliations
          Department of Cardiology, Treviso Regional Hospital, Treviso, Italy
          Article
          Publisher ID: 175775 Other ID: Cardiology 1992;81:54–58
          DOI: 10.1159/000175775
          PubMed ID: 1477856
          SO-VID: 26896b80-482e-449c-b966-4fcfe9a5a42d
          Copyright © © 1992 S. Karger AG, Basel
          License:

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          History
          Date received : 10 March 1992
          Date accepted : 20 March 1992
          Page count
          Pages: 5
          Categories
          Subject: Coronary Care

          ScienceOpen disciplines: General medicine,Neurology,Cardiovascular Medicine,Internal medicine,Nephrology
          Keywords: Acute mitral regurgitation,Transesophageal echocardiography,Papillary muscle rupture,Mitral valve surgery,Acute myocardial infarction,Complications
          Data availability:
          ScienceOpen disciplines: General medicine, Neurology, Cardiovascular Medicine, Internal medicine, Nephrology
          Keywords: Acute mitral regurgitation, Transesophageal echocardiography, Papillary muscle rupture, Mitral valve surgery, Acute myocardial infarction, Complications

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