We report the successful treatment of a 77-year-old @entity1 after a difficult diagnosis of @entity339 resulting from complete rupture of the anterior papillary muscle. The @entity1 with @entity1455 was an emergency admission. An electrocardiogram showed acute lateral wall @entity583 . He had complications of @entity491 and a high-grade fever. Transesophageal echocardiography seemed to show the appearance of a large area of @entity47 attached to the anterior mitral valve leaflet and aortic non-coronary cusp, resulting in severe @entity339 . We performed coronary angiography, which showed @entity453 . We determined that the condition was caused by @entity884 . Emergency surgery showed the complete rupture of the anterior papillary muscle, but there was no @entity47 . The mitral valve was replaced with a bioprosthetic valve and the circumflex coronary artery was bypassed with a saphenous vein graft. Pathological examination revealed mitral valve to be non-mycotic, and the postoperative course was uneventful.

Acute XXXX due to complete rupture of anterior papillary muscle mimicking mitral valve vegetation.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity339 :: ('MESH:D008944', 'Disease') :: ['mitral valve regurgitation', 'mitral regurgitation'] @entity453 :: ('MESH:D003324', 'Disease') :: ['complete obstruction of the circumflex coronary artery'] @entity47 :: ('MESH:D018458', 'Disease') :: ['vegetation'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity1455 :: ('MESH:D012770', 'Disease') :: ['cardiogenic shock'] @entity491 :: ('MESH:D007964', 'Disease') :: ['leukocytosis'] @entity884 :: ('MESH:D004696', 'Disease') :: ['infective endocarditis']
@entity339 :: (MESH:D008944,Disease) :: ['mitral valve regurgitation']
