scholarly journals Papillary muscle head rupture in a patient with normal coronarography findings

2007 ◽  
Vol 64 (4) ◽  
pp. 275-278
Author(s):  
Andrijana Kostic-Mirkovic ◽  
Srdjan Pavicevic ◽  
Ivan Otasevic ◽  
Sergej Radovic ◽  
Tomislav Marenovic
Keyword(s):  
Mitral Regurgitation ◽  
Pulmonary Oedema ◽  
Papillary Muscle ◽  
Clinical Status ◽  
Posterior Leaflet ◽  
Papillary Muscle Rupture ◽  
General Weakness ◽  
Vital Interest ◽  
Acute Mitral Regurgitation ◽  
Time Of Admission

Background. Rupture of papillary muscle generally happens during acute myocardial infarction and is the cause of acute mitral regurgitation, pulmonary oedema, so it should be promptly recognized and managed. Case report. A patient, 52 year-old, was admitted to the Thoracic Department with fever, general weakness, dyspnea and cough as a case of suspected pneumonia. Two days before the admission he was treated with antibiotics. At thoracic ward, his clinical status got serious and he transferred to Intensive Care Unit (ICU) as pulmonary oedema. At the time of admission to ICU the patient was seriously ill with tachycardia, tachydyspnea, orthopnea and cyanosis image. Auscultatory, he showed pulmonal stasis at both sides and a tachyarrhythmic action, with a systolic murmur 5/6 grade above the mitral valve. Echocardiography showed grave mitral regurgitation with prolapsus of posterior leaflet with suspected chordal rupture. At coronarography no significant lesions of coronary arteries were found. After hemodynamic stabilization the patient was operated. During the operation, Transesophageal echocardiography (TEE) examination showed a rupture of the head of the posteromedial papillary muscle. He was surgically treated with atypical quadrantectomy of posterior leaflet with homologous pericardial patch anuloplasty. Conclusion. The recognition of acute mitral regurgitation caused by the papillary muscle rupture and prompt surgical treatment is of vital interest for the survival of patients.

Partial Papillary Muscle Rupture: A Cause of Acute Mitral Regurgitation

2013 ◽  
Vol 345 (6) ◽  
pp. 478-481 ◽  
Author(s):  
Peter B. Flueckiger ◽  
Alan C. Cheng ◽  
Jonathan M. Patton ◽  
Stephen D. Clements ◽  
Stamatios Lerakis
Keyword(s):  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture ◽  
Acute Mitral Regurgitation

scholarly journals Diagnostic Pitfalls in Papillary Muscle Rupture-Associated Acute Mitral Regurgitation after Acute Myocardial Infarction

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Akiko Kameyama ◽  
Hiroshi Imamura ◽  
Hiroshi Kamijo ◽  
Kanako Takeshige ◽  
Katsunori Mochizuki ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Transthoracic Echocardiography ◽  
Heart Surgery ◽  
Systolic Murmur ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture ◽  
Acute Mitral Regurgitation

Papillary muscle rupture (PMR) is a rare and fatal complication of acute myocardial infarction (AMI). We report a case of acute mitral regurgitation (MR) due to PMR with pulmonary edema and cardiogenic shock following AMI with small myocardial necrosis. An 88-year-old woman was brought to our emergency department in acute respiratory distress, shock, and coma. She had no systolic murmur, and transthoracic echocardiography was inconclusive. Coronary angiography showed obstruction of the posterior descending branch of the right coronary artery. Although the infarction was small, the hemodynamics did not improve. Transesophageal echocardiography established papillary muscle rupture with severe mitral regurgitation 5 days after admission. Thereafter, the patient and her family did not consent to heart surgery, and she eventually died of progressive heart failure. Physicians should be aware of papillary muscle rupture with acute mitral regurgitation following AMI in patients with unstable hemodynamics, no systolic murmur, and no abnormalities revealed on transthoracic echocardiography.

Acute mitral regurgitation after non-ischemic papillary muscle rupture: A case report

2021 ◽  
Author(s):  
Miho Nakamura ◽  
Akihiro Isotani ◽  
Kyohei Yamaji ◽  
Katsumi Inoue ◽  
Katsuhiro Kondo ◽  
...  
Keyword(s):  
Case Report ◽  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture ◽  
Acute Mitral Regurgitation

An unusual presentation of ischaemic mitral regurgitation as P2 prolapse

Perfusion ◽  
2017 ◽  
Vol 32 (8) ◽  
pp. 706-708
Author(s):  
David S. Thompson ◽  
Prakash P. Punjabi
Keyword(s):  
Coronary Artery ◽  
Mitral Regurgitation ◽  
Pulmonary Oedema ◽  
Papillary Muscle ◽  
Myocardial Ischaemia ◽  
Severe Mitral Regurgitation ◽  
Circumflex Coronary Artery ◽  
Complete Occlusion ◽  
Acute Mitral Regurgitation ◽  
Obtuse Marginal

A 54-year-old gentleman presented with pulmonary oedema secondary to anterolateral papillary muscle (PPM) rupture and acute mitral regurgitation subsequent to myocardial ischaemia (MI). Angiography revealed complete occlusion of the first obtuse marginal (OM1) branch of the circumflex coronary artery and a 70% occlusion of the left anterior descending (LAD) coronary artery. Operatively, unusual anatomy was noted; an accessory head was attached superiorly to the anterior lateral PPM. This gave rise to chordae that were subsequently attached to the posterior second (P2) scallop. Additionally, the P2 scallop was deficient in chordae from the posteromedial PPM, thus, loss of this accessory head led to severe mitral regurgitation. We review the PPM anatomy and pathological context of PPM rupture and ischaemic mitral regurgitation.

scholarly journals A Case Report: In-hospital acute papillary muscle rupture in SARS-COV 2 positive patient late after acute inferior myocardial infarction

2020 ◽  
Author(s):  
Tarique chachar ◽  
Vinayak Vadgaonkar ◽  
Zaid Arekat ◽  
Fuad Abdul qader ◽  
Seham Ali Abdulrahman
Keyword(s):  
Myocardial Infarction ◽  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Inferior Wall ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture ◽  
Acute Mitral Regurgitation ◽  
Life Threatening ◽  
Acute Inferior Myocardial Infarction ◽  
Successful Thrombolysis

Papillary muscle rupture is one of the rare and potentially life-threatening complication usually following acute myocardial infarction (AMI). Acute papillary muscle rupture (PMR) results in severe mitral regurgitation rapidly progressing to florid pulmonary edema and cardiogenic shock. Without emergent surgical intervention, the mortality is extremely high. The management of STEMI patients in COVID 19 pandemic is difficult and challenging. We present an unusual case of 56 years old male who presented with acute inferior wall myocardial infarction (IWMI), underwent successful thrombolysis, developed reinfarction 5 days later complicated by acute postero-medial papillary muscle rupture (PPMR) leading to severe acute mitral regurgitation.

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