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Papillary muscle rupture in patient with acute myocardial infarction – echocardiographic case report


Authors: Rulíšek Jan 1;  Rohn Vilém 2;  Kovárník Tomáš 3;  Dobiáš Miloš 1;  Balík Martin 1
Authors place of work: n1Klinika anesteziologie resuscitace a intenzivní medicíny, Všeobecná fakultní nemocnice a 1. LF UK, Praha ;  Klinika kardiovaskulární chirurgie, Všeobecná fakultní nemocnice a 1. LF UK Praha 2;  2. interní klinika, Všeobecná fakultní nemocnice a 1. LFUK, Praha 3
Published in the journal: Anest. intenziv. Med., 24, 2013, č. 3, s. 179-182
Category: Anaesthesiology - Case Report

Summary

Acute papillary muscle rupture is one of the mechanical complications of acute myocardial infarction. If treated conservatively, mortality exceeds 90%. Rapid diagnosis and indication of a surgical procedure can dramatically improve the patients’ prognosis. During the diagnostic process, transoesophageal echocardiography plays a major role as it reveals the mechanism of mitral valve regurgitation. We present a case report of a 66 year old man with papillary muscle rupture, where fast diagnosis and surgical treatment resulted in successful management of the disease.

Keywords:
papillary muscle rupture – transoesophageal echocardiography – acute myocardial infarction


Zdroje

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8. Schroeter, T. et al. Clinical outcome after mitral valve surgery due to ischemic papillary muscle rupture. Ann. Thorac. Surg., 2012, 4, p. S0003–49.

9. Yosefy, C. et al. Mitral regurgiattion after anteroapical myocardial infarction new mechanistic insights. Circulation, 2011, 123, p. 1529–1536.

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Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine

Článok vyšiel v časopise

Anaesthesiology and Intensive Care Medicine

Číslo 3

2013 Číslo 3

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