Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

07 April 2008

Papillary muscle rupture in acute myocardial infarction: Limitations of hand-held echocardiography

Thomas Kjeld, Peter Riis Hansen

Am J Case Rep 2008; 9:208-210 :: ID: 851970

Abstract

Background: Hand-held echocardiographic systems have been shown to provide valid findings in the immediate diagnosis of cardiac abnormalities at the point of care. Some of these devices, however, have diagnostic limitations and may therefore be inadequate in the acute setting.
Case Report: We present a case of an inferior STEMI in normotensive pulmonary edema. Transthoracic echocardiography was performed with a hand held device (OptiGo, Vicare Medical) by a senior resident with level 3 training in echocardiography. The examination showed a preserved left ventricle ejection fraction and no apparent valve abnormality. Transesophageal echocardiography with another device disclosed severe mitral regurgitation due papillary muscle rupture. This was confirmed during acute open heart surgery. The patient recovered completely after surgery. Papillary muscle rupture causes acute mitral regurgitation and this complication of acute myocardial infarction has a high mortality. The survival rate is time dependent, hence prompt diagnosis and surgery most not be postponed.
Hand-held echocardiographic devices can be suitable for elective cardiac evaluation in the outpatient cardiology clinic, but these platforms may have significant technical limitations and a narrower diagnostic potential than full-featured standard echocardiography.
Conclusions: In conclusion thus we found that the hand-held device was unsuitable in the reported setting.

Keywords: papillary muscle rupture, Acute myocardial infarction, unstable angina, percutaneous coronary intervention, cardiogenic shock., portable echocardiographic devices, Echocardiography, Transesophageal

Add Comment 0 Comments

In Press

12 Feb 2024 : Case report  Germany

Diagnostic Challenges and Imaging Considerations for Intraparotid Facial Nerve Schwannoma: A Case Report an...

Am J Case Rep In Press; DOI: 10.12659/AJCR.942870  

0:00

12 Feb 2024 : Case report  USA

Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PET

Am J Case Rep In Press; DOI: 10.12659/AJCR.941169  

0:00

12 Feb 2024 : Case report  USA

Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.942839  

13 Feb 2024 : Case report  Bahrain

Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel Hematoma

Am J Case Rep In Press; DOI: 10.12659/AJCR.943519  

Most Viewed Current Articles

10 Jan 2022 : Case report  Germany

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

19 Jul 2022 : Case report  Saudi Arabia

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

05 Mar 2022 : Case report  Brazil

Acute Limb Ischemia After Self-Injection of Crushed Morphine Tablets into the Radial Artery: Role of Infrar...

DOI :10.12659/AJCR.935336

Am J Case Rep 2022; 23:e935336

02 Apr 2022 : Case report  Saudi Arabia

Infective Endocarditis Caused by Pseudomonas luteola in a Pediatric Patient. A Case Report and Review of Li...

DOI :10.12659/AJCR.935743

Am J Case Rep 2022; 23:e935743

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923