Abstract
We present a rare case of severe ischaemic papillary muscle rupture in a 67-year-old male patient who was admitted to the Emergency Department of the University Hospital Bern, Switzerland, in November 2013 with acute chest pain. On admission, the patient’s blood pressure was 60/40 mm/Hg, his pulse was 110 beats per minute and his respiratory rate was 20 breaths per minute. An electrocardiogram was normal and focused assessment with sonography in trauma was negative. Transthoracic echocardiography showed possible thickening of the mitral valve leaflet with no indications of severe mitral insufficiency or wall motion abnormalities. Triple-ruleout computed tomography angiography revealed no pulmonary emboli or aortic dissection, although coronary atherosclerosis was present. Finally, severe insufficiency of the mitral valve with rupture of the papillary muscle, likely due to ischaemia, was observed via transoesophageal echocardiography. The patient underwent a successful surgical intervention and was discharged 10 days later in stable condition.
Publication details
- DOI
- 10.18295/squmj.2016.16.02.016
- Journal
- Sultan Qaboos University Medical Journal, 16(2), 234-237
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Braun, C. T., Ricklin, M. E., & K., A. (2025). The Difficult Diagnosis of Ischaemic Papillary Muscle Rupture: Case report from an urban emergency department. Sultan Qaboos University Medical Journal, 16(2), 234-237. https://doi.org/10.18295/squmj.2016.16.02.016
MLA 9
Braun, Christian T., et al. "The Difficult Diagnosis of Ischaemic Papillary Muscle Rupture: Case report from an urban emergency department." Sultan Qaboos University Medical Journal, vol. 16, no. 2, 2025, pp. 234-237. https://doi.org/10.18295/squmj.2016.16.02.016.
Chicago (author–date)
Braun, Christian T., Meret E. Ricklin, and Aristomenis K. 2025. "The Difficult Diagnosis of Ischaemic Papillary Muscle Rupture: Case report from an urban emergency department." Sultan Qaboos University Medical Journal 16 (2): 234-237. https://doi.org/10.18295/squmj.2016.16.02.016.
Harvard
Braun, C. T., Ricklin, M. E. and K., A. (2025) 'The Difficult Diagnosis of Ischaemic Papillary Muscle Rupture: Case report from an urban emergency department', Sultan Qaboos University Medical Journal, 16(2), pp. 234-237. doi:10.18295/squmj.2016.16.02.016.
Vancouver
Braun CT, Ricklin ME, K. A. The Difficult Diagnosis of Ischaemic Papillary Muscle Rupture: Case report from an urban emergency department. Sultan Qaboos University Medical Journal. 2025;16(2):234-237. doi:10.18295/squmj.2016.16.02.016
IEEE
C. T. Braun, M. E. Ricklin, and A. K., "The Difficult Diagnosis of Ischaemic Papillary Muscle Rupture: Case report from an urban emergency department," Sultan Qaboos University Medical Journal, vol. 16, no. 2, pp. 234-237, 2025, doi: 10.18295/squmj.2016.16.02.016.