Open AccessPitfalls in the diagnosis and management of papillary muscle rupture: A study of four cases and review of the literature
Author(s) -
Samman Bashar,
Korr Kenneth S.,
Katz Alan S.,
Parisi Alfred F.
Publication year - 1995
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960181013
Subject(s) - medicine , papillary muscle , presentation (obstetrics) , myocardial infarction , cardiology , radiology
Four cases of papillary muscle rupture occurring in the setting of acute myocardial infarction are presented, which illustrate the following points: the diagnosis may not be apparent at presentation, a mitral regurgitant murmur may be absent, transesophageal echocardiography may establish the diagnosis when transthoracic echocardiography does not, and appropriate surgical correction can lead to excellent functional recovery.