Real time three-dimensional transesophageal echocardiography in partial posteromedial papillary muscle rupture

Jeremiah Havins, Scott D Lick, Paul Boor, Harvinder Arora, Masood Ahmad

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Mini-Abstract A 60-year-old hypertensive male with non-ST segment elevation myocardial infarction had a hyperdynamic LV with mild posterior leaflet mitral valve prolapse without significant regurgitation on transthoracic echocardiogram. Two-dimensional (2D) TEE showed severe mitral regurgitation with prolapse of P2 and P3 scallops. Posteromedial papillary muscle rupture was suspected. Three-dimensional (3D) TEE demonstrated severely prolapsing P2 and P3 valve scallops with a clear view of the partially ruptured posteromedial papillary muscle. Patient underwent emergency coronary bypass and mitral valve replacement. Surgical pathology of papillary muscle confirmed coagulative necrosis. 3D TEE was superior in identifying the partial posteromedial papillary muscle rupture.

Original languageEnglish (US)
JournalEchocardiography
Volume30
Issue number6
DOIs
StatePublished - Jul 2013
Externally publishedYes

Fingerprint

Three-Dimensional Echocardiography
Papillary Muscles
Transesophageal Echocardiography
Rupture
Pectinidae
Mitral Valve Prolapse
Surgical Pathology
Prolapse
Mitral Valve Insufficiency
Mitral Valve
Emergencies
Necrosis

Keywords

  • acute myocardial infarction
  • mitral regurgitation
  • papillary muscles
  • three-dimensional transesophageal echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Real time three-dimensional transesophageal echocardiography in partial posteromedial papillary muscle rupture. / Havins, Jeremiah; Lick, Scott D; Boor, Paul; Arora, Harvinder; Ahmad, Masood.

In: Echocardiography, Vol. 30, No. 6, 07.2013.

Research output: Contribution to journalArticle

Havins, Jeremiah ; Lick, Scott D ; Boor, Paul ; Arora, Harvinder ; Ahmad, Masood. / Real time three-dimensional transesophageal echocardiography in partial posteromedial papillary muscle rupture. In: Echocardiography. 2013 ; Vol. 30, No. 6.
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