Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Rupture of the Anterior Papillary Muscle Caused by Occlusion of the First Diagonal Branch -Report of 1 Case -

제1 대각지 폐쇄에 의한 승모판막 전방 유두근 파열 - 1예 보고-

  • Kim Young-Du (Department of Thoracic and Cardiovascular Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Moon Seok-Whan (Department of Thoracic and Cardiovascular Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Jo Keon-Hyeon (Department of Thoracic and Cardiovascular Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 김영두 (가톨릭대학교 의과대학 강남성모병원 흉부외과) ;
  • 문석환 (가톨릭대학교 의과대학 강남성모병원 흉부외과) ;
  • 조건현 (가톨릭대학교 의과대학 강남성모병원 흉부외과)
  • Published : 2006.01.01
Download PDF
⟨ Previous Next ⟩

Abstract

Anterior papillary muscle rupture caused by occlusion of the first diagonal branch is reported to be very rare. A 66-year-old woman was transferred to our hospital for acute myocardial infarction and cardiogenic shock. Echocardiography and angiography revealed severe mitral regurgitation caused by rupture of the anterior papillary muscle and the complete occlusion of the first diagonal branch. In an emergent setting, she had been successfully treated by mitral valve replacement and coronary artery bypass grafting. She was discharged on postoperative twelfth day without any event.

제1 대각지 단독 폐쇄에 의한 승모판막 전방 유두근의 파열은 매우 드물다. 66세 여자환자가 심근경색에 이은 심인성쇼크로 전원되었는데, 심초음파 및 관상동맥 조영술 결과 제1 대각지의 완전폐쇄와 승모판막 전방 유두근 파열 및 심한 승모판막 폐쇄부전증이 발견되어 응급 승모판막치환술 및 관상동맥 우회술 후 특별한 문제없이 회복하였다.

Keywords

References

  1. Wei JY, Huchins GM, Bulkley BH. Papillary muscle rupture in fatal acute myocardial infarction: a potentially treatable form of cardiogenic shock. Ann Int Med 1979;90:149-52 https://doi.org/10.7326/0003-4819-90-2-149
  2. Tepe NA, Edmunds LH Jr. Operation for acute postinfarction mitral insufficiency and cardiogenic shock. J Thorac Cardiovasc Surg 1985;89:525-30
  3. Estes EH Jr, Dalton FM, Entman ML, et al. The anatomy and blood supply of the papillary muscles of the left ventricle. Ann Heart J 1966;71:356-62 https://doi.org/10.1016/0002-8703(66)90475-3
  4. Ranganathan N, Bunch GE. Gross morphology and arterial supply of the papillary muscle of the left ventricle of man. Am Heart J 1969;77:506-16 https://doi.org/10.1016/0002-8703(69)90160-4
  5. Oh JH, Kim HK, Lee CK, Hwang SO, Yoon JH, Park KS. Papillary muscle rupture of the left ventricle. Korean J Thorac Cardiovasc Surg 1992;25:936-42
  6. Prizel KR, Hutchins GM, Bulkey BH. Coronary artery embolism and myocardial infarction. Ann Intern Med 1978;88: 155-61 https://doi.org/10.7326/0003-4819-88-2-155
  7. Mirza A. Myocardial infarction resulting from nonatherosclerotic coronary artery disease. Am J Emerg Med 2003; 21:578-84 https://doi.org/10.1016/S0735-6757(03)00104-9
  8. Gillinov AM, Wierup PN, Blackstone EH, et al. Is repair preferable to replacement for ischemic mitral regurgitation? J Thorac Cardiovasc Surg 2001;122:1125-41 https://doi.org/10.1067/mtc.2001.116557