{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:26:14Z","timestamp":1760955974517,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,1,5]]},"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Here we present a rare clinical presentation of papillary muscle rupture in a 55-year-old man who presented to accident and emergency department with chest pain and was diagnosed as having had a non-ST elevation myocardial infarction. During the admission, he developed papillary muscle rupture due to the myocardial infarction resulting in acute mitral regurgitation. This caused significant haemodynamic compromise needing emergency admission to the intensive care unit and eventually surgery to replace the valve.<\/jats:p>","DOI":"10.1136\/bcr-2019-232626","type":"journal-article","created":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T04:35:28Z","timestamp":1579149328000},"page":"e232626","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Rupture of mitral valve papillary muscle: a rare complication following myocardial infarction"],"prefix":"10.1136","volume":"13","author":[{"given":"Vinit","family":"Sawhney","sequence":"first","affiliation":[{"name":"Cardiology, North Middlesex University Hospital, London, UK"},{"name":"Cardiology, St Bartholomew's Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shivasankar","family":"Murugan","sequence":"additional","affiliation":[{"name":"Cardiology, St Bartholomew's Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahad","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Cardiology, North Middlesex University Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amal","family":"Muthumala","sequence":"additional","affiliation":[{"name":"Cardiology, North Middlesex University Hospital, London, UK"},{"name":"Cardiology, St Bartholomew's Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,1,15]]},"reference":[{"key":"2025082708065632000_13.1.e232626.1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.12659\/AJCR.883779","article-title":"A forgotten devil; rupture of mitral valve papillary muscle","volume":"14","author":"Jain","year":"2013","journal-title":"Am J Case Rep"},{"key":"2025082708065632000_13.1.e232626.2","doi-asserted-by":"crossref","first-page":"1702","DOI":"10.1111\/echo.13739","article-title":"Papillary muscle rupture following acute myocardial infarction: anatomic, echocardiographic, and surgical insights","volume":"34","author":"Harari","year":"2017","journal-title":"Echocardiography"},{"key":"2025082708065632000_13.1.e232626.3","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/S0025-6196(12)65133-7","article-title":"Mechanical and electrical complications of acute myocardial infarction","volume":"65","author":"Lavie","year":"1990","journal-title":"Mayo Clin Proc"},{"key":"2025082708065632000_13.1.e232626.4","doi-asserted-by":"crossref","DOI":"10.1186\/1476-7120-6-5","article-title":"Acute severe mitral regurgitation: consideration of papillary muscle architecture","volume":"6","author":"Czarnecki","year":"2008","journal-title":"Cardiovasc Ultrasound"},{"key":"2025082708065632000_13.1.e232626.5","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1016\/0002-9149(91)90936-F","article-title":"Comparison of accuracy of transesophageal versus transthoracic echocardiography for the detection of mitral valve prolapse with ruptured chordae tendineae (flail mitral leaflet)","volume":"67","author":"Sochowski","year":"1991","journal-title":"Am J Cardiol"},{"key":"2025082708065632000_13.1.e232626.6","doi-asserted-by":"publisher","DOI":"10.1136\/heart.83.6.611"},{"key":"2025082708065632000_13.1.e232626.7","unstructured":"Burton LV , Beier K . Papillary muscle rupture. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing, 2019. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK499976\/"},{"key":"2025082708065632000_13.1.e232626.8","doi-asserted-by":"crossref","first-page":"274","DOI":"10.3904\/kjim.2002.17.4.274","article-title":"Papillary muscle rupture after acute myocardial infarction--the importance of transgastric view of TEE","volume":"17","author":"Kim","year":"2002","journal-title":"Korean J Intern Med"},{"key":"2025082708065632000_13.1.e232626.9","doi-asserted-by":"crossref","first-page":"3082","DOI":"10.1093\/eurheartj\/ehx418","article-title":"Impact of total occlusion of culprit artery in acute non-ST elevation myocardial infarction: a systematic review and meta-analysis","volume":"38","author":"Khan","year":"2017","journal-title":"Eur Heart J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232626","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:07:04Z","timestamp":1756307224000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232626"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,1,15]]},"published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1136\/bcr-2019-232626"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232626","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}