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Massive mitral regurgitation secondary to acute ischemic papillary muscle rupture: The role of echocardiography
- Source :
- ResearcherID
-
Abstract
- Papillary muscle rupture is an infrequent but often fatal mechanical complication of acute myocardial infarction (AMI). We report the case of an AMI complicated by the development of an abrupt cardiogenic shock due to the rupture of the head of the postero-medial papillary muscle with echocardiographic demonstration of severe mitral regurgitation due to flail posterior mitral valve leaflet. After initial stabilization with medical therapy and diagnostic coronary angiography, the patient was referred for urgent cardiac surgery and successfully underwent mitral valve replacement with implantation of a bioprosthesis. This case confirms the importance of transthoracic echocardiography in diagnosing mechanical acute complications during an AMI and in the decision making of patients with sudden onset of hemodynamic compromise. Transthoracic echocardiography should be immediately carried out in all patients in whom a mechanical complication during an AMI is suspected.
- Subjects :
- Heart Valve Prosthesis Implantation
papillari muscle rupture
Myocardial Ischemia
Shock, Cardiogenic
Mitral Valve Insufficiency
myocardial infarction
echocardiography
Papillary Muscles
Coronary Angiography
Severity of Illness Index
Electrocardiography
Treatment Outcome
Echocardiography
Humans
Female
Aged
Heart Rupture, Post-Infarction
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- ResearcherID
- Accession number :
- edsair.pmid.dedup....0d4fc256f02390460976bfc3ac036a28