Repair of Acute Post Infarction Mitral Regurgitation with Papillary Muscle Reimplantation: A case report.
10.5090/kjtcs.2011.44.4.285
- Author:
Won Kyoun PARK
1
;
Joon Bum KIM
;
Suk Jung CHOO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. sjchoo@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Mitral valve repair;
Mitral valve regurgitation;
Papillary muscle rupture
- MeSH:
Chest Pain;
Constriction, Pathologic;
Coronary Vessels;
Dyspnea;
Echocardiography;
Follow-Up Studies;
Heart Failure;
Humans;
Infarction;
Middle Aged;
Mitral Valve;
Mitral Valve Insufficiency;
Myocardial Infarction;
Outpatients;
Papillary Muscles;
Stents
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2011;44(4):285-287
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 53-year-old man presenting with dyspnea and chest pain was diagnosed with acute myocardial infarction secondary to occlusion of the left circumflex coronary artery. Urgent revascularization by percutaneous stenting was successfully performed. However, the post-echocardiography revealed a ruptured papillary muscle that was causing severe mitral regurgitation and aggravation of congestive heart failure. The patient subsequently underwent mitral valve repair with papillary muscle re-implantation. Postoperative echocardiography showed a competent mitral valve without residual stenosis or regurgitation. The patient was discharged from the hospital with an uneventful recovery and has been doing well on outpatient follow up.