[Myocardial infarct complicated by cardiogenic shock due to acute mitral insufficiency: the diagnosis of papillary muscle rupture by transesophageal echo].
We describe a case of a man with acute myocardial infarction of the inferior wall complicated by cardiogenic shock due to acute mitral regurgitation. Transesophageal echocardiography showed the rupture of the posteromedial papillary muscle. The examination (otherwise difficult) was facilitated by the mechanical ventilation by means of an endotracheal intubation.
Divisione di Cardiologia e UCC, Seriate (BM).
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D000208:Acute Disease; D009202:Cardiomyopathies / Q000150:complications* / Q000000981:diagnostic imaging; D004452:Echocardiography; D004947:Esophagus; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging; D010210:Papillary Muscles / Q000000981:diagnostic imaging*; D012422:Rupture, Spontaneous; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000209:etiology*
Infarto miocardico complicato da shock cardiogeno per insufficienza mitralica acuta: diagnosi di rottura di muscolo papillare mediante eco transesofageo.