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May 1, 1962Circulation

Ruptured Papillary Muscle Following Myocardial Infarction with Long Survival

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Population

2 patients with rupture of a papillary muscle of the left ventricle following acute myocardial infarction

Design

Case_series

Authors

GBGerald M. BrenemanHenry Ford HospitalEDEllet H. DrakeSinai Hospital

Discussion

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Implication

Long survival after post-MI papillary muscle rupture is possible; case reports leave predictors and management open.

Key Points

  • To document cases of exceptionally long survival following post-infarction papillary muscle rupture and assess diagnostic features and potential surgical correction.
  • Detailed clinical case reports and diagnostic assessments of two patients (N=2) with left ventricular papillary muscle rupture following acute myocardial infarction.
  • Review of clinical history, diagnostic physical findings, differential diagnoses, and surgical management options.
  • Identified two cases representing the longest recorded survivals after acute post-infarction papillary muscle rupture.
  • Established that a presumptive clinical diagnosis can be made using characteristic sudden clinical deterioration accompanied by a loud apical systolic murmur.

Structured PICO

P
Population
2 patients with rupture of a papillary muscle of the left ventricle following acute myocardial infarction
O
Outcome
Survival

Highlights the possibility of long-term survival and potential for corrective surgery in patients who survive the acute event of papillary muscle rupture post-MI.

Cite This Study

Breneman et al. (1962) studied this question.

synapsesocial.com/papers/6a8bceb0effeb02058b1ebdbhttps://doi.org/10.1161/01.cir.25.5.862

Topics

Cardiomyopathy
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ruptured Mitral Chordae Tendineae1961 · 82 citations
  2. 2Ventricular Aneurysm Following Myocardial Infarction1959 · 102 citations
  3. 3SPONTANEOUS RUPTURE OF A PAPILLARY MUSCLE OF THE HEART1960 · 8 citations