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Case Reports
. 2022 Sep 11;6(9):416-420.
doi: 10.1016/j.case.2022.08.002. eCollection 2022 Nov.

A 56-Year-Old Man with Mitral Regurgitation and Acute Pulmonary Edema: Rupture of the Papillary Muscle or Infective Endocarditis?

Mads Malm Svenningsson  1 , Ingelin Langenes Vatnaland  1 , Vegard Skalstad Ellensen  1 , Einar Skulstad Davidsen  1
Affiliations
Case Reports

A 56-Year-Old Man with Mitral Regurgitation and Acute Pulmonary Edema: Rupture of the Papillary Muscle or Infective Endocarditis?

Mads Malm Svenningsson et al. CASE (Phila). .
No abstract available

Keywords: Infective endocarditis; Mitral valve prolapse; Papillary muscle rupture.

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Figures

None
Graphical abstract
Figure 1
Figure 1
ECG standard leads showing sinus rhythm with Q waves and ST elevations in II, III and aVF. Reciprocal ST depression in aVL.
Figure 2
Figure 2
ECG precordial leads showing sinus rhythm and ST depression in V2-5.
Figure 3
Figure 3
Left coronary arteriogram still frame without occlusions or stenoses.
Figure 4
Figure 4
Subselective right coronary arteriogram still frame.
Figure 5
Figure 5
Two-dimensional TTE apical 3-chamber view systolic frame, showing the posterior mitral leaflet flailing into the left atrium.
Figure 6
Figure 6
Two-dimensional TEE intercommissural view systolic frame showing mitral leaflet tissue billowing into the left atrium resembling a prolapse.
Figure 7
Figure 7
Two-dimensional TEE 3-chamber view systolic frame of the mitral valve with an echogenic mass displaying the left atrium and a possibly thickened posterior mitral leaflet compared to the anterior mitral leaflet, suggestive of IE.
Figure 8
Figure 8
Picture of the removed mitral valve showing a papillary muscle entangled in its chordae tendineae. The ruptured surface is colored in pink.
See this image and copyright information in PMC

References

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