Spontaneous mechanical rupture of a papillary muscle effectively resolved by mitral valve repair. (26th September 2017)

• Record Type: Journal Article
• Authors: Fiore, Antonio; Piscitelli, Mariantonietta; Bergoend, Eric; Couetil, Jean Paul
• Is Part Of: European journal of cardio-thoracic surgery. Volume 53:Number 4(2018)
• Page Start: 874
• Page End: 876
• Publication Date: 2017-09-26
• Subjects: Mitral valve repair -- Papillary muscle -- Mitral valve regurgitation; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; 617.54
• DOI: 10.1093/ejcts/ezx351
• Languages: English
• ISSNs: 1010-7940

Abstract

Abstract: We report a case of spontaneous mechanical papillary muscle rupture. In theory, the papillary muscle works as a shock absorber that compensates for geometric changes of left ventricular wall. We believe that the aetiology of papillary muscle rupture, in this case, is linked to the physical and mechanical strains exerted on the papillary. We performed a mitral valve repair with excellent short- and long-term results.