Abstract

Papillary muscle rupture is a rare mechanical complication of the natural course of acute myocardial infarction. It to severe mitral valve insufficiency, which occurs acutely and may be accompanied by cardiogenic shock and pulmonary edema, requiring urgent intensive therapy. However, purely medical treatment of these patients is associated with a mortality rate as high as 75 % within the first 24 hours after onset. Therefore, emergent surgical intervention is a method of choice in the treatment of this pathology. We present a clinical case of successful surgical treatment of acute mitral insufficiency caused by papillary muscle rupture in the context of acute myocardial infarction.

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