{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:56:13Z","timestamp":1775472973497,"version":"3.50.1"},"reference-count":12,"publisher":"Medical Association of Zenica-Doboj","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2015,4,18]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; To evaluate the usefulness of echocardiography in the diagnosis of complete rupture of papillary muscle.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods &amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;Transthoracic (TTE) and transesophageal echocardiography (TEE) was performed with the ATL 3000 HDI Ultrasound&amp;lt;br \/&amp;gt;Inc (Bothell, WA, USA) with a 2.5 MHz transducer and 5-7 MHz multiplane phased array transducer. We are reporting about two patients (a 45 and a 51-year old male) with complete ruptures of papillary muscle following acute myocardial infarction (AMI).&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Both patients were previously treated with fibrinolysis in their local hospitals, 400 and 300 km, respectively, away from our&amp;lt;br \/&amp;gt;hospital. Massive mitral regurgitation developed in both followed by rapid deterioration of hemodynamic state and severe heart failure, because of which both were transferred by helicopter to the Coronary Care Unit of our clinic. The diagnosis of complete papillary muscle rupture was confirmed in both patients by TTE and TEE. Due to the significant deterioration in their hemodynamic state, vasoactive drugs and intra-aortic balloon pump support were applied. Both patients then underwent mitral valve replacement, accompanied by concomitant coronary artery bypass grafting in&amp;lt;br \/&amp;gt;one case.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Transesophageal echocardiography is a more accurate and rapid diagnostic method in patients with mechanical complications of AMI than TTE.&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/793-15","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T12:51:43Z","timestamp":1713185503000},"source":"Crossref","is-referenced-by-count":1,"title":["Role of echocardiography in diagnosis and management of complete papillary muscle rupture caused by myocardial infarction"],"prefix":"10.17392","volume":"13","author":[{"given":"Josip","family":"Vincelj","sequence":"first","affiliation":[{"name":"Institute of Cardiovascular Diseases, Dubrava University Hospital","place":["Zagreb,Croatia"]},{"name":"University of Applied Health Studies","place":["Zagreb,Croatia"]},{"name":"School of Medicine, University J. J. Strossmayer","place":["Osijek,Croatia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanko","family":"Bio\u010di\u0107","sequence":"additional","affiliation":[{"name":"Institute of Cardiovascular Diseases, Dubrava University Hospital","place":["Zagreb,Croatia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Udovi\u010di\u0107","sequence":"additional","affiliation":[{"name":"Institute of Cardiovascular Diseases, Dubrava University Hospital","place":["Zagreb,Croatia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Si\u010daja","sequence":"additional","affiliation":[{"name":"Institute of Cardiovascular Diseases, Dubrava University Hospital","place":["Zagreb,Croatia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Jak\u0161i\u0107 Jurinjak","sequence":"additional","affiliation":[{"name":"Institute of Cardiovascular Diseases, Dubrava University Hospital","place":["Zagreb,Croatia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2015,4,18]]},"reference":[{"key":"ref1","first-page":"149","article-title":"Papillary muscle rupture in fatal acute myocardial infarction: a potentially treatable form of cardiogenic shock","author":"JWeiJ","year":"1979","unstructured":"Wei JY, Hutchins GM, Bulkley BH.Papillary muscle \nrupture in fatal acute myocardial infarction: a poten-\ntially treatable form of cardiogenic shock. Ann In-\ntern Med 1979;90:149-53.","journal-title":"Ann Intern Med"},{"key":"ref2","first-page":"2532","article-title":"Joint ESC\/ ACCF\/AHA\/WHF Task Force for the Redefinition of Myocardial infarction. Universal definition of myocardial infarction","author":"KThygesenK","year":"2007","unstructured":"Thygesen K, Alpert JS, White HD. Joint ESC\/ \nACCF\/AHA\/WHF Task Force for the Redefinition \nof Myocardial infarction. Universal definition of \nmyocardial infarction. Eur Heart J 2007; 28:2532-8.","journal-title":"Eur Heart J"},{"key":"ref3","first-page":"397","article-title":"Massive mitral regurgitation secondary to acute ischemic papillary muscle rupture: the role of echocardiography","author":"SLunghettiS","year":"2010","unstructured":"Lunghetti S, D'Asaro MG, Guerrieri G, Zaca V, \nCarrera A, Fusi S, Padeletti M, Mondillo S, Favilli S. \nMassive mitral regurgitation secondary to acute is-\nchemic papillary muscle rupture: the role of echocar-\ndiography. Cardiol J 2010; 17: 397-400.","journal-title":"Cardiol J"},{"key":"ref4","first-page":"367","article-title":"Papillary muscle rupture following acute myocardial infarction","author":"HMinamiH","year":"2004","unstructured":"Minami H, Mukohara N, Obo H, Yoshida M, Naka-\ngiri K, Hanada T, Maruo A, Matsuhisa H, Morimoto \nN, Shida T. Papillary muscle rupture following acute \nmyocardial infarction. Jpn J ThoracCardiovascSurg \n2004;52:367-71.","journal-title":"Jpn J ThoracCardiovascSurg"},{"key":"ref5","first-page":"22","article-title":"Surgical management of acute mitral valve regurgitation due to post-infarction papillary muscle rupture","author":"RTavakoliR","year":"2002","unstructured":"Tavakoli R, Weber A, Vogt P,Brunner HP, Pretre R, \nTurina M.Surgical management of acute mitral valve \nregurgitation due to post-infarction papillary muscle \nrupture. J Heart Valve Dis 2002;11:22-6.","journal-title":"J Heart Valve Dis"},{"key":"ref6","first-page":"71","article-title":"Echocardiographic assessment of mitral valve regurgitation, pattern and prevalence, expanding clinical awareness through an institutional survey with the perspective of a quality improvement project","author":"AKossaifyA","year":"2014","unstructured":"Kossaify A, Akiki V. Echocardiographic assessment \nof mitral valve regurgitation, pattern and prevalence, \nexpanding clinical awareness through an institutio-\nnal survey with the perspective of a quality improve-\nment project. Clin Med Insight Cardiol 2014;8:71-7.","journal-title":"Clin Med Insight Cardiol"},{"key":"ref7","first-page":"1117","article-title":"Cardiogenic shock due to cardiac free-wall rupture or tamponade after acute myocardial infarction: a reportfrom the SHOCK Trial registry. Should we emergently revascularize occluded coronaries for cardiogenic shock?","author":"JSlaterJ","year":"2000","unstructured":"Slater J, Brown RJ, Antonelli TA,Menon V, Bo-\nlant J, Col J, Dzavik V, Greenberg M, Menegus M, \nConnery C, Hochman JS.Cardiogenic shock due to \ncardiac free-wall rupture or tamponade after acute \nmyocardial infarction: a reportfrom the SHOCK \nTrial registry. Should we emergently revascularize \noccluded coronaries for cardiogenic shock?J Am \nCollCardiol 2000;36:1117-22.","journal-title":"J Am CollCardiol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1476-7120-6-5","article-title":"Acute severe mitral regurgitation: consideration of papillary muscle architecture","author":"ACzarneckiA","year":"2008","unstructured":"Czarnecki A, Thakrar A, Fang T, Lytwyn M, Ah-\nmadie R, Pascoe E, Jassal DS. Acute severe mitral \nregurgitation: consideration of papillary muscle ar-\nchitecture. Cardiovasc Ultrasound 2008;6:5.","journal-title":"Cardiovasc Ultrasound"},{"key":"ref9","article-title":"Atlas of transesophageal echocardiography","author":"NNandaN","year":"1998","unstructured":"Nanda NC, Domanski MJ. Atlas of transesophageal \nechocardiography. Baltimore: Williams & Wilkins, \n1998."},{"key":"ref10","first-page":"18","article-title":"A new classification of the mitral papillary muscle","author":"DBerdajsD","year":"2005","unstructured":"Berdajs D, Lajos P, Turina M. A new classificati-\non of the mitral papillary muscle. Med SciMonit \n2005;11:18-21.","journal-title":"Med SciMonit"},{"key":"ref11","first-page":"295","article-title":"Hybrid treatment strategy for papillary muscle rupture in acute myocardial infarction","author":"GJessurunG","year":"2004","unstructured":"Jessurun GA, Erasmus ME, Wijpkema JS, Rietman \nGW, Tio RA. Hybrid treatment strategy for papillary \nmuscle rupture in acute myocardial infarction. Int J \nCardiol 2004;96:295-7.","journal-title":"Int J Cardiol"},{"key":"ref12","first-page":"41","article-title":"Echocardiographic assessment of the incidence of mechanical complications during the early phase of myocardial infarction in the reperfusion era: a French multicentre prospective registry","author":"PGueretP","year":"2008","unstructured":"Gueret P, Khalife K, Jobic Y, Fillipi E, Isaaz K, \nTassan-Mangina S, Baxias C, Motreff P, Meune C. \nEchocardiographic assessment of the incidence of \nmechanical complications during the early phase \nof myocardial infarction in the reperfusion era: a \nFrench multicentre prospective registry. Arch Cardi-\novasc Dis 2008;101:41-7.","journal-title":"Arch Cardiovasc Dis"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/344\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/344\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:43:24Z","timestamp":1775468604000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/13\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,18]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2015,4,18]]},"published-print":{"date-parts":[[2015,4,18]]}},"URL":"https:\/\/doi.org\/10.17392\/793-15","archive":["Internet Archive"],"relation":{"is-cited-by":[{"id-type":"doi","id":"10.1155\/2024\/5534308","asserted-by":"object"}]},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2015,4,18]]}}}