title: Anterolateral papillary muscle rupture: diagnosis and successful treatment (a case report).
abstract: We report the case of a young man presenting with chest pain, dyspnea, and syncope in whom transthoracic and transesophageal echocardiography helped to diagnose anterolateral papillary muscle rupture. After cardiac catheterization (which confirmed the severe mitral regurgitation and showed two vessel coronary disease), mitral valve replacement was performed together with coronary bypass grafting.
authors.affiliation: Department of Cardiology, Institute of Cardiovascular Diseases, Prof. Dr. C. C. Iliescu, Bucharest, Romania. apetrei@fx.ro
authors.forename: Eduard
authors.initials: E
authors.lastname: Apetrei
authors.forename: Mihaela
authors.initials: M
authors.lastname: Rugina
authors.forename: Vlad
authors.initials: V
authors.lastname: Iliescu
authors.forename: Dan
authors.initials: D
authors.lastname: Deleanu
authors.forename: Ion
authors.initials: I
authors.lastname: Miclea
authors.forename: Daniela
authors.initials: D
authors.lastname: Filipescu
authors.forename: Ovidiu
authors.initials: O
authors.lastname: Chioncel
authors.forename: Adrian
authors.initials: A
authors.lastname: Mereuta
mesh_terms: D000328:Adult; D001026:Coronary Artery Bypass; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006341:Heart Rupture / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D009203:Myocardial Infarction / Q000175:diagnosis; D010210:Papillary Muscles / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014463:Ultrasonography