Paraninfi Aurora, Colonna Giuseppe, Zaccaria Salvatore, Greco Cosimo Angelo
Department of Cardiology and Intensive Cardiac Care Unit, Sacro Cuore di Gesù Hospital, Gallipoli, Italy.
Department of Cardiology and Intensive Cardiac Care Unit, Vito Fazzi Hospital, Lecce, Italy.
J Cardiovasc Echogr. 2025 Apr-Jun;35(2):169-172. doi: 10.4103/jcecho.jcecho_82_24. Epub 2025 Jul 30.
Papillary muscle rupture (PMR) is a cardiac surgical emergency, and early treatment is associated with better short- and long-term survival outcomes. The sensitivity of the transthoracic echocardiogram for PMR is rather low (65%), and in acute, the diagnosis could be difficult given the clinical, laboratory, and radiological aspects not specific for the disease. We report a case of incomplete anterolateral PMR in a patient admitted to intensive care with bilateral pneumonia and septic shock. Transesophageal echocardiogram was fundamental for a better visualization of mitral subvalvular apparatus, allowing a correct diagnosis and a tempestive treatment.
乳头肌破裂（PMR）是一种心脏外科急症，早期治疗与更好的短期和长期生存结果相关。经胸超声心动图对PMR的敏感性相当低（65%），在急性期，鉴于临床、实验室和放射学方面对该疾病不具有特异性，诊断可能会很困难。我们报告一例因双侧肺炎和感染性休克入住重症监护病房的患者发生不完全前外侧PMR的病例。经食管超声心动图对于更好地观察二尖瓣瓣下结构至关重要，有助于做出正确诊断并进行及时治疗。
