Pablo Blanco, MD, Luis Carapelli, MD CHEST

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Date of download: 6/21/2016 Copyright © The American College of Cardiology. All rights reserved. From: Acute Myocardial Infarction Early Viability Assessment.

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A 46-Year-Old Man Presenting With Orthopnea, Hypotension, and Abdominal Pain Pablo Blanco, MD, Luis Carapelli, MD CHEST Volume 151, Issue 3, Pages e53-e56 (March 2017) DOI: 10.1016/j.chest.2016.07.047 Copyright © 2017 American College of Chest Physicians Terms and Conditions

Figure 1 Transthoracic echocardiogram, apical four-chamber view. A flail posterior mitral valve leaflet is observed (arrowhead), with a thin structure in continuity with the leaflet corresponding to a flail chordae tendineae (white arrow) and a thick segment (black arrow) corresponding to a ruptured papillary muscle head. aMVL = anterior mitral valve leaflet; Da = descending aorta; LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle. CHEST 2017 151, e53-e56DOI: (10.1016/j.chest.2016.07.047) Copyright © 2017 American College of Chest Physicians Terms and Conditions

Figure 2 Transthoracic echocardiogram, apical two-chamber view. A flail posterior mitral valve leaflet is observed, with a thin and mobile structure in continuity with the leaflet (arrow) corresponding to a flail chordae tendineae. pMVL = posterior mitral valve leaflet. See Figure 1 legend for expansion of abbreviations. CHEST 2017 151, e53-e56DOI: (10.1016/j.chest.2016.07.047) Copyright © 2017 American College of Chest Physicians Terms and Conditions