case_images: PMC10791320_01
case_images: Anteroposterior CXR shows confluent airspace opacities in the right lower lung demonstrating hemorrhage after papillary muscle rupture.
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case_images: PMC10791320_01_CRIPU2024-5534308.001.jpg
case_images: fig1
case_images: Chest radiography (CXR) showed confluent airspace opacities in the right lower lung, concerning for pneumonia, asymmetric pulmonary edema, or pulmonary hemorrhage (Figure 1).
case_images: (a, b) CTA chest showing airspace opacities in the right upper lobe and right lower lobe as well as minimally in the left lower lobe, small pleural effusions bilaterally.
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case_images: PMC10791320_01_CRIPU2024-5534308.002.jpg
case_images: fig2
case_images: CT angiography (CTA) chest revealed airspace opacities in the right upper lobe and right lower lobe as well as minimally in the left lower lobe, small pleural effusions bilaterally, no pulmonary emboli (Figure 2).
case_images: Anteroposterior CXR shows interval worsening of airspace opacities in the right lower lobe.
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case_images: fig3
case_images: Repeat CXR findings showed interval worsening of airspace opacities in the right lower lobe (Figure 3).
case_images: (a, b) TEE showing ruptured head of the posterior papillary muscle prolapsing into the left atrium in systole and back into the left ventricle in diastole.
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case_images: fig4
case_images: He was transferred to the ICU, where cardiology performed a transesophageal echocardiogram (TEE) that revealed the head of the posterior papillary muscle to be ruptured and prolapsing into the left atrium in systole and back into the left ventricle in diastole, compatible with severe eccentric mitral regurgitation (Figures 4 and 5).
case_images: TEE with color Doppler showing severe eccentric mitral regurgitation.
case_images: CRIPU2024-5534308.005.jpg
case_images: PMC10791320_01_CRIPU2024-5534308.005.jpg
case_images: fig5
case_images: He was transferred to the ICU, where cardiology performed a transesophageal echocardiogram (TEE) that revealed the head of the posterior papillary muscle to be ruptured and prolapsing into the left atrium in systole and back into the left ventricle in diastole, compatible with severe eccentric mitral regurgitation (Figures 4 and 5).