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Papillary Muscle Rupture after Acute Myocardial Infarction: The Importance of Transgastric View of TEE
Transesophageal echocardiography was performed to evaluate the exact cause of severe mitral regurgitation in a 64-year-old man presented with hypotension and dyspnea after acute inferior wall myocardial infarction. In mid-esophageal two-and four-chamber view, the ruptured stump of papillary muscle c...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Association of Internal Medicine
2002
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4531682/ https://www.ncbi.nlm.nih.gov/pubmed/12647646 http://dx.doi.org/10.3904/kjim.2002.17.4.274 |
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author | Kim, Mi Youn Park, Chang Han Lee, Ji A Song, Ji Hyun Park, Seong Hoon |
author_facet | Kim, Mi Youn Park, Chang Han Lee, Ji A Song, Ji Hyun Park, Seong Hoon |
author_sort | Kim, Mi Youn |
collection | PubMed |
description | Transesophageal echocardiography was performed to evaluate the exact cause of severe mitral regurgitation in a 64-year-old man presented with hypotension and dyspnea after acute inferior wall myocardial infarction. In mid-esophageal two-and four-chamber view, the ruptured stump of papillary muscle could not be visualized. However, in transgastric two-chamber view, we could clearly visualize the ruptured head of the posteromedial papillary muscle as a separated mass attached by chorda tendinae, as well as the freely mobile stump of the ruptured papillary muscle within the left ventricle. So, the comprehensive transesophageal echocardiography, including transgastric imaging, is always indicated in patients with severe mitral regurgitation after acute myocardial infarction. |
format | Online Article Text |
id | pubmed-4531682 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2002 |
publisher | Korean Association of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-45316822015-10-02 Papillary Muscle Rupture after Acute Myocardial Infarction: The Importance of Transgastric View of TEE Kim, Mi Youn Park, Chang Han Lee, Ji A Song, Ji Hyun Park, Seong Hoon Korean J Intern Med Case Report Transesophageal echocardiography was performed to evaluate the exact cause of severe mitral regurgitation in a 64-year-old man presented with hypotension and dyspnea after acute inferior wall myocardial infarction. In mid-esophageal two-and four-chamber view, the ruptured stump of papillary muscle could not be visualized. However, in transgastric two-chamber view, we could clearly visualize the ruptured head of the posteromedial papillary muscle as a separated mass attached by chorda tendinae, as well as the freely mobile stump of the ruptured papillary muscle within the left ventricle. So, the comprehensive transesophageal echocardiography, including transgastric imaging, is always indicated in patients with severe mitral regurgitation after acute myocardial infarction. Korean Association of Internal Medicine 2002-12 /pmc/articles/PMC4531682/ /pubmed/12647646 http://dx.doi.org/10.3904/kjim.2002.17.4.274 Text en Copyright © 2002 The Korean Association of Internal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Mi Youn Park, Chang Han Lee, Ji A Song, Ji Hyun Park, Seong Hoon Papillary Muscle Rupture after Acute Myocardial Infarction: The Importance of Transgastric View of TEE |
title | Papillary Muscle Rupture after Acute Myocardial Infarction: The Importance of Transgastric View of TEE |
title_full | Papillary Muscle Rupture after Acute Myocardial Infarction: The Importance of Transgastric View of TEE |
title_fullStr | Papillary Muscle Rupture after Acute Myocardial Infarction: The Importance of Transgastric View of TEE |
title_full_unstemmed | Papillary Muscle Rupture after Acute Myocardial Infarction: The Importance of Transgastric View of TEE |
title_short | Papillary Muscle Rupture after Acute Myocardial Infarction: The Importance of Transgastric View of TEE |
title_sort | papillary muscle rupture after acute myocardial infarction: the importance of transgastric view of tee |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4531682/ https://www.ncbi.nlm.nih.gov/pubmed/12647646 http://dx.doi.org/10.3904/kjim.2002.17.4.274 |
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