{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:40:45Z","timestamp":1786653645442,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Traumatic papillary muscle rupture is an uncommon cause of acute mitral regurgitation (MR). We report the perioperative management of a case of severe MR due to the posteromedial papillary muscle rupture in a 33-year-old man who had blunt chest trauma caused by fall of an electric lamp post over him. He also had an additional finding of a Ventricular Septal Defect (VSD). He successfully underwent a mitral valve replacement (MVR) with a VSD repair surgery and was discharged on the sixth day of the surgical correction. Sometimes respiratory symptoms because of hemothorax, rib fractures can mask the cardiac trauma and pose diagnostic dilemma. Careful examination and imaging of the heart can detect a serious problem to address it.<\/jats:p>","DOI":"10.4103\/aca.aca_159_25","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T16:00:23Z","timestamp":1768579223000},"page":"125-127","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative Management and Diagnostic Dilemma in a Rare Case of Traumatic Papillary Muscle Rupture with Severe Mitral Regurgitation: A Case Report"],"prefix":"10.4103","volume":"29","author":[{"given":"Arupratan","family":"Maiti","sequence":"first","affiliation":[{"name":"Department of Cardiac Anaestheia, Apollo Multispeciality Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amrita","family":"Guha","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaestheia, Apollo Multispeciality Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushan","family":"Mukhopadhyaya","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaestheia, Apollo Multispeciality Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"R1-20260331","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1016\/S0003-4975(97)00843-6","article-title":"Blunt cardiac trauma: Atrioventricular valve disruption and ventricular septal defect","volume":"64","author":"Stahl","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"R2-20260331","first-page":"406","article-title":"Papillary muscle rupture of the mitral valve following blunt thoracic trauma","volume":"36","author":"Faizi","year":"2023","journal-title":"Proc (Bayl Univ Med Cent)"},{"key":"R3-20260331","doi-asserted-by":"crossref","first-page":"100681","DOI":"10.1016\/j.tcr.2022.100681","article-title":"Mitral valve repair in severe mitral regurgitation after blunt chest trauma","volume":"41","author":"Rinc\u00f3n-Tello","year":"2022","journal-title":"Trauma Case Rep"},{"key":"R4-20260331","first-page":"1960","article-title":"Traumatic rupture of a papillary muscle of the mitral valve due to blunt thoracic trauma","volume":"29","author":"Jolly","year":"1983","journal-title":"Can Fam Physician"},{"key":"R5-20260331","doi-asserted-by":"crossref","first-page":"rjad274","DOI":"10.1093\/jscr\/rjad274","article-title":"Traumatic rupture of anterolateral papillary muscle in a patient with congenital deficiency of left hemi-pericardium: Case report","volume":"2023","author":"Adomako","year":"2023","journal-title":"J Surg Case Rep"},{"key":"R6-20260331","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/S0003-4975(00)02498-X","article-title":"Traumatic papillary muscle rupture","volume":"72","author":"Simmers","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"R7-20260331","doi-asserted-by":"crossref","first-page":"S301","DOI":"10.1097\/TA.0b013e318270193a","article-title":"Screening for blunt cardiac injury: An Eastern Association for the Surgery of Trauma practice management guideline","volume":"73","author":"Clancy","year":"2012","journal-title":"J Trauma Acute Care Surg"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_159_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:22Z","timestamp":1786650022000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_159_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_159_25","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-06-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-04","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}