title: [Mitral insufficiency caused by isolated rupture of the papillary muscle secondary to blunt thoracic trauma].
abstract: We report a patient suffering from mitral insufficiency after isolated rupture a papillary muscle as a result of a car accident with blunt chest trauma. The diagnosis is often difficult due to related multiple lesions which vary the clinical picture. Physical exploration, electrocardiogram, enzymatic and nuclear scan lack adequate sensitivity and specificity. Echocardiography appears to be the most reliable noninvasive diagnostic method now available.
authors.affiliation: Unidad Coronaria, Hospital Universitario Marqués de Valdecilla, Santander.
authors.forename: J A
authors.initials: JA
authors.lastname: Prieto Solís
authors.forename: J J
authors.initials: JJ
authors.lastname: Olalla Antolín
authors.forename: P
authors.initials: P
authors.lastname: Enrŕiquez Giraudo
authors.forename: B
authors.initials: B
authors.lastname: Ruiz Delgado
mesh_terms: D000328:Adult; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006341:Heart Rupture / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D010210:Papillary Muscles / Q000293:injuries*; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*
vernacular_title: Insuficiencia mitral por rotura aislada de músculo papilar secundaria a traumatismo torácico cerrado.