Papillary Muscle Rupture after Acute Myocardial Infarction: The Importance of Transgastric View of TEE.
- Author:
Mi Youn KIM
1
;
Chang Han PARK
;
Ji A LEE
;
Ji Hyun SONG
;
Seong Hoon PARK
Author Information
1. Department of Internal Medicine, Mok-Dong Hospital, College of Medicine, Ewha Womans University, Seoul, Korea. pseongh@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Myocardial Infarction;
Papillary Muscles;
Rupture;
Echocardiography;
Transesophageal
- MeSH:
*Echocardiography, Transesophageal;
Heart Rupture, Post-Infarction/*ultrasonography;
Human;
Male;
Middle Aged;
Myocardial Infarction/complications/*ultrasonography;
Papillary Muscles/*ultrastructure
- From:The Korean Journal of Internal Medicine
2002;17(4):274-277
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
