Papillary muscle rupture in patient with acute myocardial infarction – echocardiographic case report

Authors: Rulíšek Jan 1;  Rohn Vilém 2;  Kovárník Tomáš 3;  Dobiáš Miloš 1;  Balík Martin 1
Authors‘ workplace: n1Klinika anesteziologie resuscitace a intenzivní medicíny, Všeobecná fakultní nemocnice a 1. LF UK, Praha ;  Klinika kardiovaskulární chirurgie, Všeobecná fakultní nemocnice a 1. LF UK Praha 2;  2. interní klinika, Všeobecná fakultní nemocnice a 1. LFUK, Praha 3
Published in: Anest. intenziv. Med., 24, 2013, č. 3, s. 179-182
Category: Anaesthesiology - Case Report


Acute papillary muscle rupture is one of the mechanical complications of acute myocardial infarction. If treated conservatively, mortality exceeds 90%. Rapid diagnosis and indication of a surgical procedure can dramatically improve the patients’ prognosis. During the diagnostic process, transoesophageal echocardiography plays a major role as it reveals the mechanism of mitral valve regurgitation. We present a case report of a 66 year old man with papillary muscle rupture, where fast diagnosis and surgical treatment resulted in successful management of the disease.

papillary muscle rupture – transoesophageal echocardiography – acute myocardial infarction


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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine

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