Abstract
A 52-year-old man developed left ventricular power failure after anterolateral myocardial infarction. Emergency cardiac catheterization revealed mitral regurgitation with normal right and left anterior descending coronary arteries. Significantly, the left circumflex coronary artery was diminutive in size, and no branches to the region of the anterolateral papillary muscle were demonstrated. Acute papillary muscle dysfunction was found at operation. Mitral valve replacement was successfully performed within 1 week of the myocardial infarction and development of papillary muscle dysfunction. The patient had returned to full activity 6 months after the operation.
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More From: The Journal of Thoracic and Cardiovascular Surgery
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