{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:20:36Z","timestamp":1787772036523,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.4103\/jcecho.jcecho_82_24","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T08:00:14Z","timestamp":1753948814000},"page":"169-172","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["An Incomplete Anterolateral Papillary Muscle Rupture in Patient with Suspected Septic Shock"],"prefix":"10.4103","volume":"35","author":[{"given":"Aurora","family":"Paraninfi","sequence":"first","affiliation":[{"name":"Department of Cardiology and Intensive Cardiac Care Unit, Sacro Cuore di Ges\u00f9 Hospital, Gallipoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Colonna","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Intensive Cardiac Care Unit, Vito Fazzi Hospital, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Zaccaria","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Vito Fazzi Hospital, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cosimo Angelo","family":"Greco","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Intensive Cardiac Care Unit, Veris Delli Ponti Hospital, Scorrano, LE, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"R1-20260421","doi-asserted-by":"crossref","first-page":"e16","DOI":"10.1161\/CIR.0000000000000985","article-title":"Mechanical complications of acute myocardial infarction: A scientific statement from the American Heart Association","volume":"144","author":"Damluji","year":"2021","journal-title":"Circulation"},{"key":"R2-20260421","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1002\/ajum.12117","article-title":"Is it septic or cardiogenic shock? 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