Acute inferior myocardial infarction combined with papillary muscle rupture: A case report.
10.11817/j.issn.1672-7347.2023.220365
- Author:
Xiexiong ZHAO
1
;
Yu CAO
2
;
Jiongxing WU
3
Author Information
1. Department of Cardiology, Third Xiangya Hospital, Central South University, Changsha 410013. 1009314192@qq.com.
2. Department of Cardiology, Third Xiangya Hospital, Central South University, Changsha 410013.
3. Department of Emergency, Third Xiangya Hospital, Central South University, Changsha 410013, China. 470397748@qq.com.
- Publication Type:Journal Article
- Keywords:
acute inferior myocardial infarction;
cardiogenic shock;
mitral regurgitation;
mitral valve prolapse;
rupture of papillary muscle
- MeSH:
Humans;
Inferior Wall Myocardial Infarction/complications*;
Papillary Muscles/surgery*;
Pulmonary Edema;
Myocardial Infarction/surgery*;
Shock, Cardiogenic
- From:
Journal of Central South University(Medical Sciences)
2023;48(4):628-632
- CountryChina
- Language:English
-
Abstract:
The incidence of acute myocardial infarction (AMI) is increasing. Acute papillary muscle rupture is one of the serious and rare mechanical complications of AMI, which occurs mostly in inferior and posterior myocardial infarction. A patient with acute inferior myocardial infarction developed pulmonary edema and refractory shock, followed by cardiac arrest. After cardiopulmonary resuscitation (CPR), revascularization of criminal vessels was carried out by emergency percutaneous transluminal coronary angioplasty (PTCA) under the support of intra-aortic balloon pump (IABP) and extra corporeal membrane oxygenation (ECMO). Although the patient was given a chance for surgery, his family gave up treatment due to unsuccessful brain resuscitation. It reminds that mechanical complications such as acute papillary muscle rupture, valvular dysfunction and rupture of the heart should be highly suspected when cardiogenic pulmonary edema and cardiogenic shock are difficult to correct in acute inferior myocardial infarction. Echocardiogram and surgery should be put forward when revascularization of criminal vessels is available.
