scholarly journals Prompt diagnosis of ST-elevation myocardial infarction with papillary muscle rupture by point-of-care ultrasound in the emergency department

2017 ◽  
Vol 4 (3) ◽  
pp. 178-181
Author(s):  
Koon Ho Cheung ◽  
Colin Graham Alexander
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Papillary Muscle ◽  
Point Of Care ◽  
St Elevation Myocardial Infarction ◽  
Point Of Care Ultrasound ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture ◽  
St Elevation ◽  
Prompt Diagnosis

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.

Pseudo-endocarditis secondary to ruptured posteromedial papillary muscle with anatomical variation: A Case Report

2020 ◽  
pp. 179
Author(s):  
Keyword(s):  
Myocardial Infarction ◽  
Mitral Valve ◽  
Papillary Muscle ◽  
Anatomical Variation ◽  
Low Grade ◽  
Papillary Muscle Rupture ◽  
Atypical Chest Pain ◽  
Anatomical Variant ◽  
Muscle Rupture ◽  
Mitral Valve Vegetation

Myocardial infarction is the leading cause of papillary muscle rupture. This complication occurs in up to 5% of cases post MI and although rare, it constitutes a cardiac emergency if left untreated. On this basis, a 59-year-old male presented with low-grade fever and atypical chest pain with raised inflammatory markers and troponin levels. He was treated for infective endocarditis after echocardiography revealed a mass on the mitral valve, which was presumed to be a mitral valve vegetation and so he completed a 6-weeks course of antibiotics followed by elective mitral valve replacement surgery. During surgery, it was discovered that there was no endocarditis. Instead an unusually small muscle head of one of the posteromedial papillary muscle groups had ruptured secondary to an inferior myocardial infarction. This ruptured muscle head was highly mobile and mimicked a mitral valve vegetation. The mitral valve was successfully repaired, and the right coronary artery grafted. He made a full recovery but developed new-onset atrial fibrillation for which he is awaiting elective cardioversion. One should have a high index of suspicion for diagnosing papillary muscle rupture as it may mimic valvular vegetation on echocardiography, especially if the papillary muscle involved is an anatomical variant.

scholarly journals Papillary Muscle Rupture Complicating Acute Myocardial Infarction

2020 ◽  
Vol 2 (15) ◽  
pp. 2283-2288
Author(s):  
Lyana Labrada ◽  
Aadhar Patil ◽  
Jeevan Kumar ◽  
Samuel Kolman ◽  
Omer Iftikhar ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Papillary Muscle ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture

Role of transesophageal echocardiography in the diagnosis of papillary muscle rupture secondary to myocardial infarction

1989 ◽  
Vol 118 (6) ◽  
pp. 1330-1333 ◽  
Author(s):  
Ashokakumar M. Patel ◽  
Fletcher A. Miller ◽  
Bijoy K. Khandheria ◽  
Charles J. Mullany ◽  
James B. Seward ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Transesophageal Echocardiography ◽  
Papillary Muscle ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture
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