Naslov
Echocardiography in the diagnosis of complete papillary muscle rupture following acute myocardial infarction.

Autori
Vincelj, Josip ; Sokol, Ivan ; Biočina, Bojan ; Barišin, Stjepan.

Izvornik
Case Reports and Clinical Practice Review (1507-6164) 6 (2005); 314-316

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
papillary muscle; mitral valve; acute myocardial infarction; echocardiography

Sažetak
Papillary muscle rupture following acute myocardial infarction leads to rapid deterioration of the clinical condition of the patient and eventually to dearh. A case of complete posterior papillary muscle rupture is reported. A 45-year-old man with acute inferoposterior myocardial infarction was admitted to the hospital for severe heart failure. Transthoracic echocardiography indicated suspicion of posterior papillary muscle rupture. Transesophageal Doppler echocardiography definitely pointed to the diagnosis of complete posterior papillary muscle rupture with concomitant severe (+4) mitral regurgitation. Left ventriculography confirmed the diagnosis of severe mitral regurgitation. Coronary angiography demonstrated significant stenosis of the circumflex coronary artery, first obtuse marginal coronary artery, right coronary artery, and occlusion of the second obtuse marginal coronary artery. Combined mitral valve replacement (Carbomedics M 27) and coronary artery bypass grafting (venous graft to the circumflex coronary artery) were performed without complications. Transesophageal Doppler echocardiography as an accurate and rapid diagnostic method and coronary angiography are mandatory before making any therapeutic decision.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA