Korean J Thorac Cardiovasc Surg.  2006 Jan;39(1):64-67.

Rupture of the Anterior Papillary Muscle Caused by Occlusion of the First Diagonal Branch : Report of 1 Case

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. khjo@catholic.ac.kr

Abstract

Anterior papillary muscle rupture caused by occlusion of the first diagonal branch is reported to be very rare. A 66-year-old woman was transferred to our hospital for acute myocardial infarction and cardiogenic shock. Echocardiography and angiography revealed severe mitral regurgitation caused by rupture of the anterior papillary muscle and the complete occlusion of the first diagonal branch. In an emergent setting, she had been successfully treated by mitral valve replacement and coronary artery bypass grafting. She was discharged on postoperative twelfth day without any event.

Keyword

Papillary muscle; Mitral regurgitation; Myocardial infarction

MeSH Terms

Aged
Angiography
Coronary Artery Bypass
Echocardiography
Female
Humans
Mitral Valve
Mitral Valve Insufficiency
Myocardial Infarction
Papillary Muscles*
Rupture*
Shock, Cardiogenic
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