Papillary Muscle Rupture Complicating Acute Myocardial Infarction

Lyana Labrada, MD; Aadhar Patil, MD; Jeevan Kumar, MD; Samuel Kolman, MD; Omer Iftikhar, MD; Martin Keane, MD; Kenji Minakata, MD, PhD; William Van Decker, MD; Vladimir Lakhter, DO; Isaac Whitman, MD

JACC: Case Reports (Dec 2020)

Papillary Muscle Rupture Complicating Acute Myocardial Infarction

Lyana Labrada, MD,
Aadhar Patil, MD,
Jeevan Kumar, MD,
Samuel Kolman, MD,
Omer Iftikhar, MD,
Martin Keane, MD,
Kenji Minakata, MD, PhD,
William Van Decker, MD,
Vladimir Lakhter, DO,
Isaac Whitman, MD

Affiliations

Lyana Labrada, MD: Lewis Katz School of Medicine Temple Heart and Vascular Institute, Philadelphia, Pennsylvania, USA
Aadhar Patil, MD: Lewis Katz School of Medicine Temple Heart and Vascular Institute, Philadelphia, Pennsylvania, USA
Jeevan Kumar, MD: Lewis Katz School of Medicine Temple Heart and Vascular Institute, Philadelphia, Pennsylvania, USA
Samuel Kolman, MD: Lewis Katz School of Medicine Temple Heart and Vascular Institute, Philadelphia, Pennsylvania, USA
Omer Iftikhar, MD: Section of Interventional Cardiology, Lewis Katz School of Medicine Temple Heart and Vascular Institute, Philadelphia, Pennsylvania, USA
Martin Keane, MD: Lewis Katz School of Medicine Temple Heart and Vascular Institute, Philadelphia, Pennsylvania, USA
Kenji Minakata, MD, PhD: Department of Surgery, Section of Cardiovascular Surgery, Lewis Katz School of Medicine Temple Heart and Vascular Institute, Philadelphia, Pennsylvania, USA
William Van Decker, MD: Lewis Katz School of Medicine Temple Heart and Vascular Institute, Philadelphia, Pennsylvania, USA
Vladimir Lakhter, DO: Section of Interventional Cardiology, Lewis Katz School of Medicine Temple Heart and Vascular Institute, Philadelphia, Pennsylvania, USA
Isaac Whitman, MD: Section of Cardiac Electrophysiology, Lewis Katz School of Medicine Temple Heart and Vascular Institute, Philadelphia, Pennsylvania, USA; Address for correspondence: Dr. Isaac R. Whitman, Division of Cardiology, Section of Cardiac Electrophysiology, Lewis Katz School of Medicine at Temple University Hospital, 3401 N. Broad Street, Parkinson Pavilion 911, Philadelphia, Pennsylvania 19140, USA.

Journal volume & issue: Vol. 2, no. 15
pp. 2283 – 2288

Abstract

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A 52-year-old man presented with acute onset of chest pain and was found to have an inferolateral ST-segment elevation myocardial infarction and acute mitral regurgitation due to papillary muscle rupture. This case describes a rare, potentially fatal mechanical complication of acute myocardial infarction. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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