A 27-Year-Old Woman With Postpartum Papillary Muscle Rupture

Erika Hutt, MD; Celeste Santos-Martins, MD; Jose Aguilera, MD; Per Wierup, MD, PhD; Vidyasagar Kalahasti, MD; Carmela Tan, MD

JACC: Case Reports (Nov 2020)

A 27-Year-Old Woman With Postpartum Papillary Muscle Rupture

Erika Hutt, MD,
Celeste Santos-Martins, MD,
Jose Aguilera, MD,
Per Wierup, MD, PhD,
Vidyasagar Kalahasti, MD,
Carmela Tan, MD

Affiliations

Erika Hutt, MD: Cardiovascular Medicine Department, Cleveland Clinic, Cleveland, Ohio; Address for correspondence: Dr. Erika Hutt, Cardiovascular Medicine Department, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, Ohio 44195.
Celeste Santos-Martins, MD: Anatomic Pathology Department, Cleveland Clinic, Cleveland, Ohio
Jose Aguilera, MD: Cardiovascular Medicine Department, Cleveland Clinic, Cleveland, Ohio
Per Wierup, MD, PhD: Thoracic and Cardiovascular Surgery Department, Cleveland Clinic, Cleveland, Ohio
Vidyasagar Kalahasti, MD: Cardiovascular Medicine Department, Cleveland Clinic, Cleveland, Ohio
Carmela Tan, MD: Anatomic Pathology Department, Cleveland Clinic, Cleveland, Ohio

Journal volume & issue: Vol. 2, no. 14
pp. 2191 – 2195

Abstract

Read online

Postpartum papillary muscle rupture (PMR) is extremely uncommon and tolerated poorly with limited management options other than emergency surgical intervention. This case demonstrates the challenges of postpartum PMR in a young woman with unrecognized vascular Ehlers-Danlos syndrome and highlights the importance of preconception screening of cardiovascular disease. (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

About the journal

Abstract

Keywords