scholarly journals Apparently Spontaneous Partial Rupture of Anterolateral Papillary Muscle Requiring Urgent Surgery

2020 ◽  
pp. 1-3
Author(s):  
Fabio Fazzari ◽  
Ludovico Rossetto ◽  
Renato Maria Bragato ◽  
Mirko Curzi ◽  
Valeria Donghi ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Surgery ◽  
Papillary Muscle ◽  
Rare Complication ◽  
Severe Mitral Regurgitation ◽  
Partial Rupture ◽  
Papillary Muscle Rupture ◽  
Urgent Surgery ◽  
Muscle Rupture ◽  
Coronary Obstruction

Papillary muscle rupture is a rare complication of myocardial infarction. Here we describe a case of an apparently spontaneous rupture of papillary muscle, not associated with coronary obstruction. The patient was a 73-year-old man admitted to our hospital for diabetic ketoacidosis complicated by acute pulmonary edema and cardiogenic shock. Transthoracic and transesophageal echocardiography showed partial rupture of papillary muscle leading to severe mitral regurgitation. Urgent cardiac surgery with mitral valve replacement was performed.

Multiplane Transesophageal Echocardiographic Description of a Complete Papillary Muscle Rupture during Acute Myocardial Infarction

1996 ◽  
Vol 4 (1) ◽  
pp. 60-62
Author(s):  
Ha Jong Won ◽  
Namsik Chung ◽  
Cho Seung Yun ◽  
Shim Won Heum ◽  
Kang Meyun Sik ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Transesophageal Echocardiography ◽  
Papillary Muscle ◽  
Rare Complication ◽  
Papillary Muscle Rupture ◽  
Complete Rupture ◽  
Muscle Rupture ◽  
Q Wave

The complete rupture of a papillary muscle is a relatively rare complication of acute myocardial infarction and is generally considered to be rapidly fatal. We describe the multiplane transesophageal echocardiography features of a completely ruptured anterolateral papillary muscle complicating acute non-Q wave lateral myocardial infarction.

scholarly journals A Coronary Conundrum: Papillary Muscle Rupture and Ischemic Mitral Regurgitation Secondary to Coronary Thromboembolism in Antiphospholipid Syndrome

2019 ◽  
Vol 7 ◽  
pp. 232470961984224
Author(s):  
Amar Shere ◽  
Pradyumna Agasthi ◽  
Farouk Mookadam ◽  
Sudheer Konduru ◽  
Reza Arsanjani
Keyword(s):  
Myocardial Infarction ◽  
Mitral Regurgitation ◽  
Antiphospholipid Syndrome ◽  
Papillary Muscle ◽  
Rare Complication ◽  
Autoimmune Disorder ◽  
Ischemic Mitral Regurgitation ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture ◽  
Uncommon Case

Antiphospholipid syndrome (APS) is an autoimmune disorder that has a strong propensity for a hypercoagulable state and is known to be associated with venous and arterial thromboembolism. We describe an uncommon case of APS in the setting of non-Hodgkin’s lymphoma, with thromboembolism, and a rare complication after an uncommon etiology of myocardial infarction. This case highlights the importance of early and appropriate type of anticoagulation to reduce the morbidity and mortality in patients with APS.

scholarly journals ANTEROLATERAL PAPILLARY MUSCLE RUPTURE: A RARE COMPLICATION OF ACUTE MYOCARDIAL INFARCTION

2017 ◽  
Vol 69 (11) ◽  
pp. 2443
Author(s):  
Michael Valentino ◽  
Alec Vishnevsky ◽  
Hetal Mehta ◽  
Paul Walinsky ◽  
Gregary Marhefka
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Papillary Muscle ◽  
Rare Complication ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture

scholarly journals P1470 Rare cause of papillary muscle rupture post cardiac surgery

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
E Lopez Rodriguez ◽  
F Calvo Iglesias ◽  
E Blanco Gonzalez ◽  
M A Varela Martinez ◽  
J J Legarra Calderon
Keyword(s):  
Cardiac Surgery ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Papillary Muscle ◽  
Rare Complication ◽  
Heart Team ◽  
Valve Repair ◽  
Papillary Muscle Rupture ◽  
Valvular Surgery ◽  
Muscle Rupture

Abstract Introduction Papillary muscle rupture (PMR) secondary to mitral valve repair surgery is a rare complication in the postoperative period of cardiac surgery Purpose We present a case of PMR with fatal outcome after mitral valve repair with a rigid ring secondary to accidental ligature of the circumflex artery (CA). Methods An 83-year-old male referred for valvular surgery for symptomatic mitral regurgitation (MR). In the last echocardiography LVEF was mildly depressed (45-50%), severe organic MR (A2 chord rupture), functional TR, and moderate degenerative AR. With these findings and together with a normal coronary angiography, he was presenting at the Heart Team for triple valvular surgery. The procedure consisted of implanting aortic biological prosthesis, mitral and tricuspid annuloplasty. During the pump output, he presented ventricular arrhythmias, but in the intraoperative transesophageal echocardiography (TEE) a good result was demonstrated. At 24h postoperatively the patient enters arrhythmic storm, ischemia data appear on ECG (ST-segment depression of V1-V3 and DI-aVL) and elevation of markers of myocardial damage (TnIc 450 ng/mL), which point to complication postsurgical cardiology is contacted for urgent echocardiography. Results The echocardiography showed a massive MI due to postero-medial PMR, inferior and inferolateral akinesia and severe biventricular dysfunction. With these findings and with the suspicion of accidental ligation of CA during the implantation of the mitral annulus, urgent catheterization is considered. Given the evolution of the ischemic event and the delicate hemodynamic situation, this option is discarded, so that angiographic confirmation is not achieved. Finally, the patient undergoes cardiac revision surgery as a last option. After performing sternotomy, cardiac rupture at a lower level is evidenced, patch closure is attempted but due to tissue friability it is not achieved and the patient dies in the surgical act. Conclusion RMP after mitral valve surgery is a very rare complication. The majority of published cases are related to increased tension forces after mitral replacement with preservation of the subvalvular apparatus. Our case would be the first described of MPR secondary to accidental ligation of AC after mitral annuloplasty.

scholarly journals Surgical treatment of mechanical complications following acute myocardial infarction. A Case Series.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Jorgjia Bucaj ◽  
Edvin Prifti
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiac Surgery ◽  
Papillary Muscle ◽  
Medical Centre ◽  
Main Body ◽  
Ventricular Septal Rupture ◽  
Papillary Muscle Rupture ◽  
Mechanical Complications ◽  
Muscle Rupture

Background: Acute myocardial infarction can result in ischemic, mechanical, arrhythmic, embolic or inflammatory complications. Despite high operative mortality, the lack of an effective and immediate medical alternative makes the surgery repair the mainstay of current management for these patients. Novel surgical approaches are presented to manage these complications. Main body: Mechanical complications presented at the Department of Cardiac Surgery-Tirana University Medical Centre consisted in nine cases during the period January 2008-June 2018: two anterolateral papillary muscle rupture cases (22%), one posteromedial papillary muscle rupture case (11%), two ventricular septal rupture cases (22%),  one free ventricle wall rupture case (11%),  three chordae tendineae rupture cases (33%), four out of nine patients (44,5%) underwent concomitant CABG intervention. Intra operator mortality is estimated 11% (one out of nine cases). The Department of Cardiac Surgery-Tirana University Medical Centre is limited only in open surgery techniques for repair the post myocardial infarction mechanical complications. To our personal view key reasons for these results are conditioned from lack of medical devices, trained stuff, reliable short and long outcome data from alternative procedures in order to incorporate thus in our daily practice. Further studies should be undertaken not only to create a precise image of the situation, but also to evaluate the results of the possible changes.  Key words: Acute myocardial infarction, mechanical complications, papillary muscle rupture, ventricular septal rupture, free ventricle wall rupture, CABG intervention.

scholarly journals Rupture of mitral valve papillary muscle: a rare complication following myocardial infarction

2020 ◽  
Vol 13 (1) ◽  
pp. e232626
Author(s):  
Vinit Sawhney ◽  
Shivasankar Murugan ◽  
Fahad Iqbal ◽  
Amal Muthumala
Keyword(s):  
Myocardial Infarction ◽  
Papillary Muscle ◽  
Rare Complication ◽  
Emergency Admission ◽  
Papillary Muscle Rupture ◽  
Accident And Emergency ◽  
Muscle Rupture ◽  
Acute Mitral Regurgitation ◽  
St Elevation ◽  
Accident And Emergency Department

Here we present a rare clinical presentation of papillary muscle rupture in a 55-year-old man who presented to accident and emergency department with chest pain and was diagnosed as having had a non-ST elevation myocardial infarction. During the admission, he developed papillary muscle rupture due to the myocardial infarction resulting in acute mitral regurgitation. This caused significant haemodynamic compromise needing emergency admission to the intensive care unit and eventually surgery to replace the valve.

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