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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5. Tanimoto, T., Imanishi, T., Akasaka, T. et al. Prevalence and clinical significance of papillary muscle infarction detected by late gadolinium-enhanced magnetic resonance imaging in pa-tients with ST-segment elevation myocardial infarction. Circulation, 2010, 122, p. 2281–2287.
6. Patrick, T. et al. 2013 ACCF/AHA Guideline for the management of ST-elevation myocardial infarction. Circulation, 2013, 127, p. e362–e425.
7. Widimský, P. et al. Diagnostika a léčba akutního infarktu myokardu s ST elevacemi. Cor. et vasa, 2009, 51, 10, p. 724–740.
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.
10. Zoghby et al. Recomendation s for evaluation of the severity of native valvular regurgutation with two dimensional and dop-pler echocardiography. J. Am Soc. of Echocardiography, 2003, p. 777–801.
Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2013 Číslo 3
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