01 January 2005
Echocardiography in the diagnosis of complete papillary muscle rupture following acute myocardial infarction
Josip Vincelj, Ivan Sokol, Bojan Biocina, Stjepan BarisinCase Rep Clin Pract Rev 2005; 6:314-316 :: ID: 438998
Abstract
Background: Papillary muscle rupture following acute myocardial infarction leads to rapid deterioration of the clinical condition of the patient and eventually to death. A case of complete posterior papillary
muscle rupture is reported.
Case Report: A 45-year-old man with acute inferoposterior myocardial infarction was admitted to the hospital for severe heart failure. Transthoracic echocardiography indicated suspicion of posterior
papillary muscle rupture. Transesophageal Doppler echocardiography definitely pointed to the
diagnosis of complete posterior papillary muscle rupture with concomitant severe (+4) mitral
regurgitation. Left ventriculography confirmed the diagnosis of severe mitral regurgitation.
Coronary angiography demonstrated significant stenosis of the circumflex coronary artery,
first obtuse marginal coronary artery, right coronary artery, and occlusion of the second obtuse
marginal coronary artery. Combined mitral valve replacement (Carbomedics M 27) and coronary
artery bypass grafting (venous graft to the circumflex coronary artery) were performed without
complication.
Conclusions: Transesophageal Doppler echocardiography as an accurate and rapid diagnostic method and
coronary angiography are mandatory before making any therapeutic decision.
Keywords: papillary muscle, Mitral Valve, Rupture, acute myocardial infarction, Echocardiography
32
In Press
12 Feb 2024 : Case report
Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PETAm J Case Rep In Press; DOI: 10.12659/AJCR.941169
12 Feb 2024 : Case report
Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942839
13 Feb 2024 : Case report
Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel HematomaAm J Case Rep In Press; DOI: 10.12659/AJCR.943519
13 Feb 2024 : Case report
Hemorrhagic Presentation in Primary Central Nervous System Lymphoma: A Case StudyAm J Case Rep In Press; DOI: 10.12659/AJCR.942951
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250