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

Disciplines

Medicine and Health Sciences

PubMedID

27443107

Department(s)

Department of Medicine, Cardiology Division

Document Type

Article

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