• J Am Soc Echocardiogr · Oct 2003

    Case Reports

    The enigma of occult mitral regurgitation in a patient with cardiogenic shock.

    • Alan Shah and Itzhak Kronzon.
    • Department of Medicine, New York University School of Medicine, New York, New York, USA.
    • J Am Soc Echocardiogr. 2003 Oct 1; 16 (10): 1080-1.

    AbstractIn patients with mitral regurgitation (MR), there is a high pressure gradient between the left ventricle (LV) and left atrium that Doppler echocardiography can easily detect. We present a case where transthoracic echocardiography (TTE) failed to provide an accurate evaluation of a patient who presented in cardiogenic shock. A transesophageal echocardiogram diagnosed MR because of a flail leaflet caused by a ruptured papillary muscle in the setting of normal ventricular function.

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