| Acute rupture of myxomatous mitral valve presenting as refractory cardiopulmonary arrest. | |
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MedLine Citation:
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PMID: 3794098 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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D W Ferguson; R W Kiefaber; D S Ziegelman; R E Uphold; R S Jackson; B S Tabakin |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 1987-02-02 Completed Date: 1987-02-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8301365 Medline TA: J Am Coll Cardiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 215-20 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Female Heart Arrest / etiology*, therapy Heart Rupture / complications* Humans Intra-Aortic Balloon Pumping Middle Aged Mitral Valve* Mitral Valve Prolapse / complications Resuscitation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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