A RARE CASE OF ANTEROLATERAL PAPILLARY MUSCLE HEAD RUPTURE IN ABSENCE OF ACUTE MYOCARDIAL INFARCTION AND EPICARDIAL CORONARY ARTERY DISEASE

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NABATI MARYAM; YOSOFNESUAD KEYVAN; BAGHERI BABAK; HABIBI VALIOLLAH

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Journal Paper

Paper Information

Journal: Journal of Mazandaran University of Medical Sciences Year:2013 | Volume:22 | Issue:97 Page(s): 290-293

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Title

A RARE CASE OF ANTEROLATERAL PAPILLARY MUSCLE HEAD RUPTURE IN ABSENCE OF ACUTE MYOCARDIAL INFARCTION AND EPICARDIAL CORONARY ARTERY DISEASE

Author(s)

NABATI MARYAM | YOSOFNESUAD KEYVAN | BAGHERI BABAK | HABIBI VALIOLLAH | Issue Writer Certificate

Keywords

ANTEROLATERAL PAPILLARY MUSCLE

ACUTE MYOCARDIAL INFARCTION

EPICARDIAL CORONARY ARTERIES

Abstract

A rare complication of AMI is papillary muscle rupture (PMR), occurring in 1% of patients with ACUTE MYOCARDIAL INFARCTION (AMI). Mitral regurgitation related to PMR occurs at a median of 1 day (ranging from 1-14 days) after onset of myocardial infarction. PMR tends to occur in those having a first time AMI and those without extensive collateral circulation. PMR involves posteromedial papillary muscle and ANTEROLATERAL PAPILLARY MUSCLE in 75% and 25% of the cases, respectively.We report a 79-year-old man who referred to our hospital with acute severe pulmonary edema. Transthoracic echocardiography showed ruptured anterolateral head of papillary muscle resulting in flail anterior mitral valve leaflet and acute severe MR. Patient undergone emergent coronary angiography and we found normal epicardial coronary anteries. The patient was emergently transferred to operating room and MV was replaced with a bioprosthetic valve. He was discharged after one week, feeling well.This study proves the significant role of accurate transthoracic echocardiography in determining the mechanism of acute MR and planning for prompt treatment.

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APA: Copy

NABATI, MARYAM, YOSOFNESUAD, KEYVAN, BAGHERI, BABAK, & HABIBI, VALIOLLAH. (2013). A RARE CASE OF ANTEROLATERAL PAPILLARY MUSCLE HEAD RUPTURE IN ABSENCE OF ACUTE MYOCARDIAL INFARCTION AND EPICARDIAL CORONARY ARTERY DISEASE. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 22(97), 290-293. SID. https://sid.ir/paper/586115/en

Vancouver: Copy

NABATI MARYAM, YOSOFNESUAD KEYVAN, BAGHERI BABAK, HABIBI VALIOLLAH. A RARE CASE OF ANTEROLATERAL PAPILLARY MUSCLE HEAD RUPTURE IN ABSENCE OF ACUTE MYOCARDIAL INFARCTION AND EPICARDIAL CORONARY ARTERY DISEASE. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2013;22(97):290-293. Available from: https://sid.ir/paper/586115/en

IEEE: Copy

MARYAM NABATI, KEYVAN YOSOFNESUAD, BABAK BAGHERI, and VALIOLLAH HABIBI, “A RARE CASE OF ANTEROLATERAL PAPILLARY MUSCLE HEAD RUPTURE IN ABSENCE OF ACUTE MYOCARDIAL INFARCTION AND EPICARDIAL CORONARY ARTERY DISEASE,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 22, no. 97, pp. 290–293, 2013, [Online]. Available: https://sid.ir/paper/586115/en

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