A Case of Post Myocardial Infarction Papillary Muscle Rupture.
Publication/Presentation Date
6-1-2016
Abstract
Papillary muscle rupture is a rare, life-threatening post myocardial infarction mechanical complication. Without surgical intervention, prognosis is very poor. Clinicians need to recognize this complication early, as prompt therapy is crucial. We present a case of inferior ST elevation myocardial infarction complicated by posteromedial papillary muscle rupture resulting in severe acute mitral regurgitation (flail anterior mitral leaflet), acute pulmonary edema and cardiogenic shock. In our patient, a new mitral regurgitation murmur suggested this mechanical complication. Complete disruption of papillary muscle was visualized by transesophageal echocardiography. This case illustrates the importance of good physical examination for early diagnosis of papillary muscle rupture, so that life-saving treatment can be administered without delay.
Volume
69
Issue
6
First Page
249
Last Page
251
ISSN
0038-3317
Published In/Presented At
Anuwatworn, A., Milnes, C., Kumar, V., Raizada, A., Nykamp, V., & Stys, A. (2016). A Case of Post Myocardial Infarction Papillary Muscle Rupture. South Dakota medicine : the journal of the South Dakota State Medical Association, 69(6), 249–251.
Disciplines
Medicine and Health Sciences
PubMedID
27443107
Department(s)
Department of Medicine, Cardiology Division
Document Type
Article