[Successful surgical management of papillary muscle rupture following acute myocardial infarction in an elderly patient].
Kyobu Geka
; 59(10): 923-6, 2006 Sep.
Article
em Ja
| MEDLINE
| ID: mdl-16986689
ABSTRACT
Papillary muscle rupture is rare but catastrophic complication of acute myocardial infarction. We report a 91-year-old woman who underwent successful management of papillary muscle rupture following acute myocardial infarction. She was transferred to our hospital because of severe pulmonary edema and cardiogenic shock. Echocardiography revealed severe mitral valve regurgitation due to total rupture of anterolateral papillary muscle. After intubation, intraaortic balloon pumping (IABP) and percutaneous cardiopulmonary support (PCPS) insertion, mitral valve replacement was successfully performed. She was discharged 134 days after operation. In papillary muscle rupture deteriorating hemodynamics, early diagnosis and immediate cardiopulmonary support are required before surgical treatment. She was, to the best of our knowledge, the oldest among the reported cases of successful surgical treatment of papillary muscle rupture in Japan.
Buscar no Google
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Músculos Papilares
/
Ruptura Cardíaca Pós-Infarto
/
Implante de Prótese de Valva Cardíaca
/
Insuficiência da Valva Mitral
Tipo de estudo:
Screening_studies
Limite:
Aged80
/
Female
/
Humans
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Japão