Mitral Valve Replacement in a Patient with Mitral Regurgitation Secondary to Rupture of a Papillary Muscle
Authors: ANGEL DE LA TORRE
Journal: Annals of Internal Medicine (1967)

Case Studies1 August 1967Mitral Valve Replacement in a Patient with Mitral Regurgitation Secondary to Rupture of a Papillary MuscleANGEL DE LA TORRE, M.D., J. W. LINHART, M.D., THOMAS D. BARTLEY, M.D.ANGEL DE LA TORRE, M.D., J. W. LINHART, M.D., THOMAS D. BARTLEY, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-2-387 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRupture of a papillary muscle of the heart is considered a rare complication of myocardial infarction (1-5). Cederquist and Söderström (1) recently reported an incidence of 0.9% in 578 cases studied postmortem in patients dying of acute myocardial infarction. With the recent improvements in the technique of open heart surgery and subsequent reduction in mortality and morbidity, every effort should be made to establish the diagnosis since this lesion is potentially correctable even though the immediate mortality is high (5). Surgical correction of mitral regurgitation secondary to a ruptured papillary muscle has only rarely been attempted (2, 3), and there...References1. CEDERQUISTSÖDERSTRÖM LJ: Papillary muscle rupture in myocardial infarction. A study based upon an autopsy material. Acta Med. Scand. 176: 287, 1964. CrossrefMedlineGoogle Scholar2. HOLLOWAYWHALENMCINTOSH DHREHD: Systolic murmur developing after myocardial ischemia or infarction: differential diagnosis. JAMA 191: 888, 1965. CrossrefMedlineGoogle Scholar3. ADICOFFALEXANDERFERGUSONKELLY ACSJNWD: Surgical repair of a ruptured papillary muscle complicating posterior myocardial infarction. Amer. J. Cardiol. 2: 246, 1963. CrossrefGoogle Scholar4. AUSTINSANDERSAVERILLFRIEDLICH WGCAJHAF: Ruptured papillary muscle. Report of a case with successful mitral valve replacement. Circulation 32: 597, 1965. CrossrefMedlineGoogle Scholar5. SANDERSNEUBERGERRAVIN RJKTA: Rupture of papillary muscles: occurrence of rupture of the posterior muscle in posterior myocardial infarction. Dis. Chest 31: 316, 1957. CrossrefMedlineGoogle Scholar6. ASKEY JM: Spontaneous rupture of a papillary muscle of the heart: review with eight additional cases. Amer. J. Med. 9: 528, 1950. CrossrefMedlineGoogle Scholar7. CRADDOCKMAHE WLGA: Rupture of a papillary muscle of heart following myocardial infarction. JAMA 151: 884, 1953. MedlineGoogle Scholar8. HANSEN J: Spontaneous rupture of a papillary muscle of the heart. Report of three cases. Acta Med. Scand. 172: 531, 1962. CrossrefMedlineGoogle Scholar9. BRENEMANDRAKE GMEH: Ruptured papillary muscle following myocardial infarction with long survival. Circulation 25: 862, 1962. CrossrefMedlineGoogle Scholar10. PHILLIPSDE PASQUALEBURCH JHNPGE: The electrocardiogram in infarction of the anterolateral papillary muscle. Amer. Heart J. 66: 338, 1963. CrossrefMedlineGoogle Scholar11. LINHARTBARTLEY JWTD: Left ventricular cineangiography following mitral valve replacement with the Starr-Edwards ball valve prosthesis. In preparation. Google Scholar12. LINHARTWHEAT JWMW: Myocardial dysfunction following aortic valve replacement (abstract). Circulation 34: 158, 1966. Google Scholar13. VINEBERGWALKER AMJ: The surgical treatment of coronary artery disease by internal mammary artery implantation: report of 140 cases followed up to 13 years. Dis. Chest 45: 190, 1964. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Gainesville, FloridaFrom the Departments of Medicine and Surgery, College of Medicine, University of Florida, Gainesville, Fla.This study was supported in part by a grant from the Suncoast Heart Association, St. Petersburg, Fla., and by training grant 2T1-HE-5493, National Institutes of Health, Bethesda, Md.Requests for reprints should be addressed to Angel de la Torre, M.D., Department of Medicine, College of Medicine, University of Florida, Gainesville, Fla. 32601. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByRuptured papillary muscle, a complication of myocardial infarction: Clinical presentation, diagnosis, and treatmentMitralinsuffizienz nach HerzinfarktSurgical management of papillary muscle rupture due to myocardial infarctionRupture of ventricular septum or papillary muscle complicating myocardial infarction.Sudden appearance of a systolic murmur in acute myocardial infarctionPapillary muscle rupture following myocardial infarction: Successful treatment by resection of akinetic left ventricular area, mitral valve replacement, and aorta to coronary artery bypass graftNon-rheumatic `subvalvar' mitral regurgitation: Surgical pathology and results of operation in 37 patientsResults of valve replacement for severe mitral regurgitation due to papillary muscle rupture or fibrosisSurgical Management of Complications of Myocardial InfarctionAcquired, nonrheumatic mitral regurgitation: Clinical management with emphasis on evaluation of myocardial performanceMitral insufficiency following experimental papillary muscle infarctionA Hemodynamic Study of Acute Mitral Valvar Regurgitation in ManThe Clinical Spectrum of Papillary-Muscle DiseaseSurgical Treatment of Papillary-Muscle Rupture Complicating Myocardial Infarction 1 August 1967Volume 67, Issue 2Page: 387-392KeywordsLongitudinal studiesMitral insufficiencyMitral valve replacementMorbidityMortalityMyocardial infarctionMyocardiumOpen heart surgeryPapillary musclesSurgery Issue Published: 1 August 1967 PDF DownloadLoading ...