Ruptured Papillary Muscle on Echocardiogram

[ayul1980]

it very rare cases..

[besmurfy]

Amazing!

[nikumuskulozi]

wow

[toastyrachelT]

Very impressive did the person live?

[merigirl2]

27 years and I've never seen this, wow, very helpful, thanks

[yannnypoo]

How do you distinguish ruptured papillary muscle from vegetation?

[rocketmotor01]

look to see if it is the same texture/pattern as the myocardium. Vegetations typically have a brighter looking coloring from my experience.

[rblira2]

you can follow the "flailing" connected to the valve--not necessarily true with vegetation. Another feature is the "flailing tubular feature" of the ruptured papilary muscle. Hyperechogenicity of vegetation is to also to be expected compared to a more hypoechoic muscle.

[desertshaman]

Thanks

[desertshaman]

How do you know the PM has ruptured and not just the chordae? Just curious..

Thanks

[bigdaddymeloncamp]

Chordae rupture on its own may not necessarily produce significant MR and would appear as a filamentous structure, the differnece with this clip is (upon pausing the cineloops) is the display of a significant mass (pap muscle)connected to the end of the chordae and subsequent industrial strength mitral regurgitation

[ultraknapp]

Nice representation of a Ruptured Papillary Muscle!! Quality Images! I saw quite a few of these interning at a trauma hospital. Kudos!!!