Journals / The Anatolian Journal of Cardiology / 2019 / Cilt: 22 - Sayı: 1

A rare complication of posterior myocardial infarction: Anterolateral papillary muscle rupture

Pages
48–50
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We present a case with an example of thispathophysiologic mechanism, which will provide insights into thefeatures of patients with the Acute coronary syndrome (ACS) andAPM rupture.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Papillary muscle rupture is one of the fatal complicationsof acute myocardial infarction.
📊
Key Findings & Data:The incidence of anterolateralpapillary muscle (APM) rupture is 6-12 times lower than that of posteromedial papillary muscle (PPM) rupture.
💡
Conclusion & Impact:We present a case with an example of thispathophysiologic mechanism, which will provide insights into thefeatures of patients with the Acute coronary syndrome (ACS) andAPM rupture.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Papillary muscle rupture is one of the fatal complicationsof acute myocardial infarction. The incidence of anterolateralpapillary muscle (APM) rupture is 6-12 times lower than that of posteromedial papillary muscle (PPM) rupture. This is becauseAPM has a dual blood supply from left anterior descending aretry(LAD) and left circumflx artery (LCX), whereas the blood supplyof PPM is maintained only by the posterior descending artery (1).In case of the presence of a lesion in both LCX and LAD, APMrupture can be seen. We present a case with an example of thispathophysiologic mechanism, which will provide insights into thefeatures of patients with the Acute coronary syndrome (ACS) andAPM rupture.

🔖

Cite This Article

KARADUMAN, A., BALABAN, İ., KESKİN, B., GEÇMEN, Ç., KAHVECİ, G. (2019). A rare complication of posterior myocardial infarction: Anterolateral papillary muscle rupture. The Anatolian Journal of Cardiology, Cilt: 22 - Sayı: 1, 48–50. https://ajindex.com/articles/365763

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Voci P, Bilotta F, Caretta Q, Mercanti C, Marino B. Papillary muscle perfusion pattern. A hypothesis for ischemic papillary muscle dysfunction. Circulation 1995; 91: 1714-8
  2. Nishimura RA, Schaff HV, Shub C, Gersh BJ, Edwards WD, Tajik AJ. Papillary muscle rupture complicating acute myocardial infarction: analysis of 17 patients. Am J Cardiol 1983; 51: 373-7
  3. Lavie CJ, Gersh BJ. Mechanical and electrical complications of acute myocardial infarction. Mayo Clin Proc1990; 65: 709-30
  4. Kishon Y, Oh JK, Schaff HV, Mullany CJ, Tajik AJ, Gersh BJ. Mitral valve operation in postinfarction rupture of a papillary muscle: immediate results and long-term follow-up of 22 patients. Mayo Clin Proc 1992; 67: 1023-30
  5. Tavakoli R, Weber A, Vogt P, Brunner HP, Pretre R, Turina M. Surgical management of acute mitral valve regurgitation due to postinfarction papillary muscle rupture. J Heart Valve Dis 2002; 11: 20-5
  6. Moursi MH, Bhatnagar SK, Vilacosta I, San Roman JA, Espinal MA, Nanda NC. Transesophageal echocardiographic assessment of papillary muscle rupture. Circulation 1996; 94: 1003-9
  7. Nishimura RA, Gersh BJ, Schaff HV. The case for an aggressive surgical approach to papillary muscle rupture following myocardial infarction: “From paradise lost to paradise regained”. Heart 2000; 83: 611-3
  8. Bilge M, Alemdar R, Ali S, Saatcı Yaşar A. Percutaneous mitral valve repair with the MitraClip system in a patient with subacute severe mitral regurgitation caused by papillary muscle rupture. Anadolu Kardiyol Derg 2014; 14: 475-6
  9. Adicoff A, Alexander CS, Ferguson JN, Kelly WD. Surgical repair of ruptured papillary muscle complicating posterior myocardial infarction. Am J Cardiol 1963; 11: 246-52.