Document Detail


Papillary muscle rupture: small life-threatening myocardial infarction.
MedLine Citation:
PMID:  23001158     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
V Rizzello; G F Mureddu; A Boccanelli
Related Documents :
465248 - Mitral valve replacement for mitral stenosis caused by libman-sacks endocarditis.
6976448 - Asynchronous relaxation of the ischemic left ventricle.
2040048 - Value and limitations of transesophageal echocardiography in assessment of mitral valve...
15721508 - Left atrial function, cytokines and soluble apoptotic markers in mitral stenosis: effec...
15896178 - Rates of percutaneous coronary interventions and bypass surgery after acute myocardial ...
11131598 - Changes in cardiac dimensions and indices of cardiac function during deconditioning in ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-22
Journal Detail:
Title:  The international journal of cardiovascular imaging     Volume:  -     ISSN:  1875-8312     ISO Abbreviation:  Int J Cardiovasc Imaging     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100969716     Medline TA:  Int J Cardiovasc Imaging     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Cardiovascular Disease, San Giovanni-Addolorata Hospital, Rome, Italy, vittoria.rizzello@gmail.com.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Aortic stiffness is related to left ventricular diastolic function in patients with diabetes mellitu...
Next Document:  Effect of dose reduction on image quality and diagnostic performance in coronary computed tomography...