The complete rupture of a papillary muscle is a relatively rare complication of acute myocardial infarction and is generally considered to be rapidly fatal. We describe the multiplane transesophageal echocardiography features of a completely ruptured anterolateral papillary muscle complicating acute non-Q wave lateral myocardial infarction.
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References
1.
CederqvistLSoderstromJ. Papillary muscle rapture in myocardial infarction: a study based upon an autopsy material. Acta Med Scand1964;176:287–92.
2.
WeiJYHutchinsGMBulkleyBH. Papillary muscle rupture in fatal acute myocardial infarction. Ann Intern Med1979;90:149–53.
3.
EstesEHDaltonFMEntmanMLDixonHBIIHackelDB. The anatomy and blood supply of the papillary muscles of the left ventricle. Am Heart J1966;71:356–62.
4.
VlodaverZEdwardsJE. Rupture of ventricular septum or papillary muscle complicating myocardial infarction. Circulation1977;55:815–22.
5.
NishimuraRASchaffHVShubCGerschBJEdwardsWDTajikAJ. Papillary muscle rupture complicating acute myocardial infarction: analysis of 17 patients. Am J Cardiol1983;51:373–7.
6.
AhmadSKleigerREConnorsJKroneR. The echocardiographic diagnosis of rupture of a papillary muscle. Chest1978;73:232–3.
7.
ComePCRileyMFWeintraubRMorganJPNakaoS. Echocardiography detection of complete and partial papillary muscle rupture during acute myocardial infarction. Am J Cardiol1985;56:788–9.
8.
StoddardMFKeedyDLKupersmithJ. Transesophageal echocardiographic diagnosis of papillary muscle rupture complicating acute myocardial infarction. Am Heart J1990;120:690–2.
9.
HanlonJTConradAKCombsTMcLellanBADoolanK. Echocardiographic recognition of partial papillary muscle rupture. J Am Soc Echocardiogr1993;6:101–3.
