Mitral repair in patients with a ruptured papillary muscle

Fasol, Roland; Lakew, Fitsum; Wetter, Stefani R.

doi:10.1067/mhj.2000.102537

Cited by 12 publications

(27 citation statements)

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“…472 Five-year survival rates after surgery average 60% to 70%. 397,[473][474][475][476] With ischemic (functional) mitral regurgitation, treatment is focused on timely reperfusion, diuretics, and afterload reduction. The severity of mitral regurgitation may improve in some patients with aggressive medical treatment, PCI, or both.…”

Section: Mitral Regurgitationmentioning

confidence: 99%

2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction

O’Gara¹,

Kushner²,

Ascheim³

et al. 2013

Circulation

2,537

930

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Section: Mitral Regurgitationmentioning

confidence: 99%

2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction

O’Gara¹,

Kushner²,

Ascheim³

et al. 2013

Circulation

2,537

930

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“…Fasol, et al employed mitral valvuloplasty and reported favorable results, although there were only 6 cases. 8) In the present patient with complete anterolateral papillary muscle rupture, mitral valve replacement was selected because there was extensive prolapse of both leaflets. The next issue is whether coronary artery bypass grafting (CABG) should be performed concomitantly.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Complete Anterolateral Papillary Muscle Rupture Following Acute Myocardial Infarction

Doi

Nagura

Fukahara

et al. 2014

ATCS

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“…Ischemia is the most common cause of papillary muscle rupture [1][2][3][4][5] . Non-ischemic causes such as endocarditis, …”

Section: Discussionmentioning

confidence: 99%

Acute Severe Mitral Regurgitation With Cardiogenic Shock Caused by Two-Step Complete Anterior Papillary Muscle Rupture During Acute Myocardial Infarction

Hutyra¹,

Škála²,

Marek³

et al. 2006

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background: Rupture of a papillary muscle is an infrequent but often fatal mechanical complication of acute myocardial infarction.Aim: The aim of this paper is to present a case report of a 65-year old women with acute severe mitral regurgitation with cardiogenic shock caused by two-step complete anterior papillary muscle rupture during acute myocardial infarction. The transthoracic echocardiography was obtained at the bedside and showed a posterior mitral valve prolapse with a severe mitral regurgitation. During this examination the patient developed acute pulmonary oedema and a consequent cardiogenic shock. Transthoracic echocardiography was then reevaluated and completed. New findings of bi-leaflet mitral flail and progression of massive mitral regurgitation were documented. The complete rupture of a papilary muscle was then considered as a cause of an acute clinical deterioration. Intraoperative findings showed a complete transection of both heads of anterolateral and necrotic regions of basis of posteromedial papillary muscle.Conclusions: This case confirms the importance of immediate echocardiography in confirming a diagnosis of acute mechanical complications of acute coronary syndromes and this examination is important for the management of a hemodynamically unstable patient. Echocardiography should be done immediately on any patient in whom the diagnosis of mechanical complication of acute coronary syndromes is suspected. BACKGROUND

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Mitral repair in patients with a ruptured papillary muscle

Cited by 12 publications

References 0 publications

2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction

2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction

Surgical Treatment of Complete Anterolateral Papillary Muscle Rupture Following Acute Myocardial Infarction

Acute Severe Mitral Regurgitation With Cardiogenic Shock Caused by Two-Step Complete Anterior Papillary Muscle Rupture During Acute Myocardial Infarction

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