Related Experiment Video
Updated: Jul 13, 2026

Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction
Published on: October 14, 2016
Partial papillary muscle rupture complicating acute myocardial infarction. diagnosis by multiplane transoesophageal
G Christ1, P Siostrzonek, G Maurer
1Department of Cardiology, University of Vienna, Austria.
Abstract:
Papillary muscle rupture is a rare but generally fatal mechanical complication of acute myocardial infarction. In contrast to complete papillary muscle rupture, echocardiographic recognition of partial papillary muscle rupture has rarely been reported and seems to be more challenging. We describe a patient with partial papillary muscle rupture that could only be diagnosed by multiplane transoesophageal echocardiography, whereas transthoracic echocardiography and single plane transesophageal echocardiography showed only posterior mitral leaflet prolapse.
Insights
Partial papillary muscle rupture, a rare complication of myocardial infarction, is challenging to diagnose. Multiplane transesophageal echocardiography is crucial for identifying this condition when other methods fail.
Area of Science:
- Cardiology
- Echocardiography
- Cardiac Mechanics
Background:
- Papillary muscle rupture is a rare, often fatal, mechanical complication following acute myocardial infarction.
- Complete rupture is more recognized, while partial rupture presents diagnostic challenges.
Observation:
- A case of partial papillary muscle rupture is presented.
- Initial transthoracic echocardiography and single-plane transesophageal echocardiography suggested only posterior mitral leaflet prolapse.
Findings:
- Multiplane transesophageal echocardiography definitively diagnosed partial papillary muscle rupture.
- This highlights the advanced imaging capabilities required for subtle mechanical complications.
Implications:
- Improved diagnostic accuracy for rare myocardial infarction complications.
- Emphasizes the value of multiplane transesophageal echocardiography in complex cardiac cases.
- Potential to alter management strategies for patients with suspected mechanical complications.
Related Concept Videos
Mitral Valve Prolapse II: Assessment and Management
Mitral Stenosis II: Clinical features and Diagnostic Tests
Myocarditis II: Clinical Features and Diagnostic Tests
Acute Coronary Syndrome III: Diagnostic Studies

