Acute myocardial infarction complicated by severe mitral regurgitation during incomplete rupture of the postero-medial papillary muscle - a case report

被引：0
作者：
Jedlinski, Ireneusz [1 ]
Duszynska, Malgorzata [1 ]
Bugajski, Pawel [2 ]
Kalawski, Ryszard [2 ]
Slomczynski, Marek [1 ]
Poprawski, Kajetan [3 ]
机构：
[1] Szpital J Strusia, Oddzial Kardiol, PL-61833 Poznan, Poland
[2] Szpital J Strusia, Oddzial Kardiochirurg, Poznan, Poland
[3] Uniwersytet Med Poznaniu, Klin Kardiol 2, Katedra Kardiol, Poznan, Poland
来源：
KARDIOLOGIA POLSKA | 2009年 / 67卷 / 06期
关键词：
myocardial infarction; mitral regurgitation; papillary muscle rupture;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A case of acute severe mitral regurgitation with serious hemodynamic impairment in the setting of an inferior ST-elevation myocardial infarction is presented. Both transthoracic and transesophageal echocardiography demonstrated a posteriorly directed eccentric jet of severe mitral regurgitation with flail anterior mitral valve leaflet. The rupture of the postero-medial papillary muscle attached via chords to the anterior mitral valve leaflet was found. The direction and eccentricity of the mitral regurgitant jet on transthorasic and transesophageal echocardiography helped to point the leaflet involved, but not necessarily the coexisting papillary muscle pathology.
引用
收藏
页码：687 / 689
页数：3
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