Document Detail

Papillary muscle rupture after acute myocardial infarction--the importance of transgastric view of TEE.
MedLine Citation:
PMID:  12647646     Owner:  NLM     Status:  MEDLINE    
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.
Mi Youn Kim; Chang Han Park; Ji A Lee; Ji Hyun Song; Seong Hoon Park
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Korean journal of internal medicine     Volume:  17     ISSN:  1226-3303     ISO Abbreviation:  Korean J. Intern. Med.     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2003-03-21     Completed Date:  2003-04-15     Revised Date:  2006-09-26    
Medline Journal Info:
Nlm Unique ID:  8712418     Medline TA:  Korean J Intern Med     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  274-7     Citation Subset:  IM    
Department of Internal Medicine, Mok-Dong Hospital, College of Medicine, Ewha Womans University, Seoul, Korea.
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MeSH Terms
Echocardiography, Transesophageal*
Heart Rupture, Post-Infarction / ultrasonography*
Middle Aged
Myocardial Infarction / complications,  ultrasonography*
Papillary Muscles / ultrastructure*

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