Document Detail

Acute rupture of myxomatous mitral valve presenting as refractory cardiopulmonary arrest.
MedLine Citation:
PMID:  3794098     Owner:  NLM     Status:  MEDLINE    
A 59 year old white woman had an out of hospital sudden cardiac arrest. Resuscitation at the scene restored spontaneous pulse, blood pressure and respiration but cardiovascular collapse recurred within 30 minutes of hospital arrival. Medically refractory cardiogenic shock of unclear origin prompted the placement of an intraaortic balloon pump, and hemodynamic stabilization was achieved over several hours. Acute rupture of the chordae tendineae of myxomatous mitral valve was diagnosed as the cause of the cardiac arrest. Mitral valve replacement was performed and the patient made an uneventful recovery. This report describes the first known case of rupture of a myxomatous mitral valve presenting as sudden cardiac death. The differential diagnosis of sudden death in this disorder is reviewed, the role of mechanical circulatory assistance in refractory cardiac arrest is discussed and several interesting hemodynamic aspects of the case are considered.
D W Ferguson; R W Kiefaber; D S Ziegelman; R E Uphold; R S Jackson; B S Tabakin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  9     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1987 Jan 
Date Detail:
Created Date:  1987-02-02     Completed Date:  1987-02-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  215-20     Citation Subset:  AIM; IM    
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MeSH Terms
Heart Arrest / etiology*,  therapy
Heart Rupture / complications*
Intra-Aortic Balloon Pumping
Middle Aged
Mitral Valve*
Mitral Valve Prolapse / complications

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