Case Report (n=1)
No
Prompt recognition and emergent surgical intervention (mitral valve replacement and CABG) with IABP support is life-saving for acute papillary muscle rupture complicating myocardial infarction.
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Supports urgent IABP and surgery in papillary muscle rupture; leaves open generalizability without larger studies.
Acute papillary muscle rupture (PMR) often results in acute, torrential mitral regurgitation and florid pulmonary edema. This catastrophic consequence of a subacute presentation of myocardial infarction is associated with a high mortality rate if not identified quickly. The incidence of PMR has decreased in the era of early percutaneous interventions for acute coronary syndromes. However, the importance of prompt recognition and intervention for this condition is paramount. We present a classic case of PMR and the associated hemodynamics, diagnosis and therapeutic management. This case serves as a guide in unmasking this fatal condition.
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Sunil Naik (2013) conducted a case report in Papillary muscle rupture secondary to acute myocardial infarction (n=1). Mitral valve replacement and coronary artery bypass grafting was evaluated on Survival and recovery.
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