Key result
Two-stage surgery successfully treats delayed papillary muscle rupture following post-infarction VSD repair.
Why the study?
Mechanical complications of myocardial infarction such as VSD and papillary muscle rupture are usually observed individually, but their simultaneous and delayed occurrence is not well characterized.
Case Report (n=1)
Mechanical complications of myocardial infarction can occur sequentially and be successfully managed with staged surgical correction.
Ventricular septal defect (VSD) and papillary muscle rupture are severe complications of myocardial infarction which are usually observed individually although their simultaneous occurrence has been observed in pathological studies. An 82-year-old female underwent repair of a post-infarction VSD and 13 days later required mitral valve replacement due to delayed papillary muscle rupture. Mechanical complications of myocardial infarction can occur in the same patient even in delayed fashion and a two-stage correction may be successfully accomplished.
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Levantino et al. (2010) conducted a case report in Post-infarction ventricular septal defect and delayed papillary muscle rupture (n=1). Mitral valve replacement following VSD repair was evaluated on Successful two-stage correction. A two-stage surgical correction was successfully accomplished in an 82-year-old female who experienced delayed papillary muscle rupture 13 days after repair of a post-infarction ventricular septal defect.
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