| Papillary muscle rupture: small life-threatening myocardial infarction. | |
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MedLine Citation:
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PMID: 23001158 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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We report the case of a 70 years old man admitted to our coronary care unit because of atrial fibrillation, non-ST-elevation myocardial infarction and cardiogenic shock. Emergency coronary angiography showed a 99 % stenosis of the circumflex coronary that was successfully treated with a bare metal stent. Atrial fibrillation was cardioverted to sinus rhythm. Nevertheless, no hemodynamic benefit was observed. Transesophageal echocardiography (TEE) showed rupture of the papillary muscle (PM). The patient underwent emergent mitral valve replacement. Surgical visualization of the mitral valve confirmed the rupture of the antero-lateral PM. The postoperative course was uneventful and the patient recovered fully. This case highlights that even small myocardial infarction may have dramatic clinical presentations such as PM rupture with cardiogenic shock. Clinical suspicion and rapid confirmation of the diagnosis by TEE are essential requirements for successful treatment. |
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Authors:
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V Rizzello; G F Mureddu; A Boccanelli |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-9-22 |
Journal Detail:
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Title: The international journal of cardiovascular imaging Volume: - ISSN: 1875-8312 ISO Abbreviation: Int J Cardiovasc Imaging Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-9-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100969716 Medline TA: Int J Cardiovasc Imaging Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Cardiovascular Disease, San Giovanni-Addolorata Hospital, Rome, Italy, vittoria.rizzello@gmail.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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