scholarly journals A Surgical Case of Papillary Muscle Rupture after Acute Myocardial Infarction with Cardiogenic Shock

2011 ◽  
Vol 70 (3) ◽  
pp. 186-190
Author(s):  
Akira Sezai ◽  
Kenji Akiyama ◽  
Seiji Fukushima ◽  
Satoshi Kashiwazaki ◽  
Ayako Takasaka ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Papillary Muscle ◽  
Papillary Muscle Rupture ◽  
Surgical Case ◽  
Muscle Rupture

scholarly journals Papillary muscle rupture due to acute myocardial infarction followed by cardiogenic shock, pulmonary edema, and acute renal failure

2005 ◽  
Vol 62 (3) ◽  
pp. 235-241 ◽  
Author(s):  
Radoje Ilic ◽  
Zoran Trifunovic ◽  
Svetislav Tisma ◽  
Andjelka Ristic-Andjelkov ◽  
Milic Veljovic
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Surgical Treatment ◽  
Mitral Valve ◽  
Cardiogenic Shock ◽  
Papillary Muscle ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture

Aim. The case of successful surgical treatment of anterolateral papillary muscle rupture due to acute myocardial infarction with cardiogenic shock, pulmonary edema and acute renal failure. Case report. A 62-year old male from Belgrade with chest pain, hypotension and a new heart murmur refused hospitalization at the Military Medical Academy. On the third day of his illness he was readmitted to MMA as an emergency due to hemoptysis. Examination revealed mitral valve anterolateral papillary muscle rupture. The patient, with signs of cardiogenic shock and acute renal failure, was immediately operated on. The surgery was performed using extracorporeal circulation. An artificial mitral valve was implanted, and myocardial revascularization accomplished with one venous graft of the left anterior descending artery. On the second postoperative day, hemodialysis was carried out due to acute renal failure. On the 28th postoperative day, the patient was discharged from the hospital being hemodynamically stable with normal renal function and balanced anticoagulation. The case is interesting in terms of unrecognized papillary muscle rupture that led to the development of cardiogenic shock, hemoptysis and acute renal failure. Conclusion. Papillary muscle rupture is a fatal complication of acute myocardial infarction. Early recognition and urgent surgical intervention were lifesaving in the case of complete papillary muscle rupture. Surgical treatment, regardless of high risk, is the procedure of choice.

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

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.

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