case_images: PMC3671306_01
case_images: Cardiac echography, apical four chambers view. Echodense prolapsing 10 mm mass attached to the anterior mitral valve leaflet leading to severe mitral regurgitation.
case_images: CRIM.HEMATOLOGY2013-710365.001.jpg
case_images: PMC3671306_01_CRIM.HEMATOLOGY2013-710365.001.jpg
case_images: fig1
case_images: Two days later, the patient developed cardiogenic shock, and a repeat transthoracic echocardiogram revealed a new echodense prolapsing mass of 10 mm attached to the anterior mitral valve leaflet, as well as severe mitral regurgitation (Figure 1).
case_images: Autopsy image of the mitral valve showing the upper portion of the ruptured papillary muscle (arrow).
case_images: CRIM.HEMATOLOGY2013-710365.002.jpg
case_images: PMC3671306_01_CRIM.HEMATOLOGY2013-710365.002.jpg
case_images: fig2
case_images: In the midportion of the anterolateral papillary muscle, this necrosis was most evident and had resulted in rupture (Figure 2).