title: Pitfalls in the diagnosis and management of papillary muscle rupture: a study of four cases and review of the literature.
abstract: Four cases of papillary muscle rupture occurring in the setting of acute myocardial infarction are presented, which illustrate the following points: the diagnosis may not be apparent at presentation, a mitral regurgitant murmur may be absent, transesophageal echocardiography may establish the diagnosis when transthoracic echocardiography does not, and appropriate surgical correction can lead to excellent functional recovery.
authors.affiliation: Department of Medicine, Miriam Hospital, Providence, RI 02906, USA.
authors.forename: B
authors.initials: B
authors.lastname: Samman
authors.forename: K S
authors.initials: KS
authors.lastname: Korr
authors.forename: A S
authors.initials: AS
authors.lastname: Katz
authors.forename: A F
authors.initials: AF
authors.lastname: Parisi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010210:Papillary Muscles