open access

Vol 67, No 6 (2009)
Other
Published online: 2009-06-24
Submitted: 2012-12-28
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Echocardiogram of the month
Acute myocardial infarction complicated by severe mitral regurgitation during incomplete rupture of the postero-medial papillary muscle – a case report

Ireneusz Jedliński, Małgorzata Duszyńska, Paweł Bugajski, Ryszard Kalawski, Marek Słomczyński, Kajetan Poprawski
Kardiol Pol 2009;67(6):687-689.

open access

Vol 67, No 6 (2009)
Other
Published online: 2009-06-24
Submitted: 2012-12-28

Abstract

A case of acute severe mitral regurgitation with serious hemodynamic impairment in the setting of an inferior ST-elevation myocardial infarction is presented. Both transthoracic and transesophageal echocardiography demonstrated a posteriorly directed eccentric jet of severe mitral regurgitation with flail anterior mitral valve leaflet. The rupture of the postero-medial papillary muscle attached via chords to the anterior mitral valve leaflet was found. The direction and eccentricity of the mitral regurgitant jet on transthorasic and transesophageal echocardiography helped to point the leaflet involved, but not necessarily the coexisting papillary muscle pathology.

Abstract

A case of acute severe mitral regurgitation with serious hemodynamic impairment in the setting of an inferior ST-elevation myocardial infarction is presented. Both transthoracic and transesophageal echocardiography demonstrated a posteriorly directed eccentric jet of severe mitral regurgitation with flail anterior mitral valve leaflet. The rupture of the postero-medial papillary muscle attached via chords to the anterior mitral valve leaflet was found. The direction and eccentricity of the mitral regurgitant jet on transthorasic and transesophageal echocardiography helped to point the leaflet involved, but not necessarily the coexisting papillary muscle pathology.
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Keywords

myocardial infarction; mitral regurgitation; papillary muscle rupture

About this article
Title

Echocardiogram of the month
Acute myocardial infarction complicated by severe mitral regurgitation during incomplete rupture of the postero-medial papillary muscle – a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 67, No 6 (2009)

Pages

687-689

Published online

2009-06-24

Bibliographic record

Kardiol Pol 2009;67(6):687-689.

Keywords

myocardial infarction
mitral regurgitation
papillary muscle rupture

Authors

Ireneusz Jedliński
Małgorzata Duszyńska
Paweł Bugajski
Ryszard Kalawski
Marek Słomczyński
Kajetan Poprawski

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