Apparently Spontaneous Partial Rupture of Anterolateral Papillary Muscle Requiring Urgent Surgery

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Author Info

Ludovico Rossetto Renato Maria Bragato Mirko Curzi Valeria Donghi Riccardo Mantovani Giuseppina Novo Fabio Fazzari

Corresponding Author

Fabio Fazzari
Department of Cardiovascular Medicine, Humanitas Clinical and Research Center, Italy

A B S T R A C T

Papillary muscle rupture is a rare complication of myocardial infarction. Here we describe a case of an apparently spontaneous rupture of papillary muscle, not associated with coronary obstruction. The patient was a 73-year-old man admitted to our hospital for diabetic ketoacidosis complicated by acute pulmonary edema and cardiogenic shock. Transthoracic and transesophageal echocardiography showed partial rupture of papillary muscle leading to severe mitral regurgitation. Urgent cardiac surgery with mitral valve replacement was performed.

Article Info

Article Type

Case Report

Publication history

Received: Wed 14, Oct 2020
Accepted: Mon 26, Oct 2020
Published: Tue 03, Nov 2020

Copyright

© 2023 Fabio Fazzari. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.11.03