Papillary muscle rupture following nonpenetrating chest trauma: report of a case with hemodynamic and serial echocardiographic findings and successful surgical treatment
Rashid, A.; Chandraratna, P.A.; Hildner, F.J.; Samet, P.; Yahr, W.Z.; Greenberg, J.
Heart and Lung the Journal of Critical Care 7(4): 647-651
1978
ISSN/ISBN: 0147-9563 PMID: 149774 Document Number: 133604
The pre- and postoperative echocardiographic features of a patient with severe mitral incompetence due to rupture of a papillary muscle following nonpenetrating chest trauma are presented. The mitral valve echocardiogram showed chaotic diastolic flutter suggestive of a ruptured papillary muscle or ruptured chordae tendineae. The preoperative ultrasound recording of the left ventricle revealed left ventricular enlargement and excessive motion of the interventricular septum. The echocardiogram taken 7 weeks after mitral valve replacement showed considerable regression of the left ventricular enlargement.