Abstract
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.
Highlights
Ludovico Rossetto1, Renato Maria Bragato2, Mirko Curzi2, Valeria Donghi2, Riccardo Mantovani2, Giuseppina Novo1 and Fabio Fazzari2*
Transthoracic and transesophageal echocardiography showed partial rupture of papillary muscle leading to severe mitral regurgitation
We describe the case of a 73-year-old man, with medical history of paroxysmal atrial fibrillation, hypertension, chronic renal failure, type 2 diabetes, and peripheral artery disease, admitted to our hospital for acute respiratory failure with concomitant diabetic ketoacidosis and acute renal failure
Summary
Ludovico Rossetto1, Renato Maria Bragato2, Mirko Curzi2, Valeria Donghi2, Riccardo Mantovani2, Giuseppina Novo1 and Fabio Fazzari2*. Spontaneous Partial Rupture of Anterolateral Papillary Muscle Requiring Urgent Surgery Papillary muscle rupture is a rare complication of myocardial infarction. We describe a case of an apparently spontaneous rupture of papillary muscle, not associated with coronary obstruction.
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