Journal of Chest Surgery

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

DOI QR Code

Repair of Acute Post Infarction Mitral Regurgitation with Papillary Muscle Reimplantation - A case report -

  • Park, Won-Kyoun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Joon-Bum (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Choo, Suk-Jung (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2011.01.13
  • Accepted : 2011.04.01
  • Published : 2011.08.05
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Chevalier P, Burri H, Fahrat F, et al. Perioperative outcome and long-term survival of surgery for acute post-infarction mitral regurgitation. Eur J Cardiothorac Surg 2004;26:330-5. https://doi.org/10.1016/j.ejcts.2004.04.027
  2. Oh JH, Lee KS, Park HW. The morphologic study of the mitral valve complex in Korean adult hearts. Korean J Thorac Cardiovasc Surg 1990;23:1128-38.
  3. Kim YD, Moon SW, Jo KH. Rupture of the anterior papillary muscle caused by occlusion of the first diagonal branch: report of 1 case. Korean J Thorac Cardiovasc Surg 2006;39: 64-7.
  4. 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
  5. Loisance DY, Deleuze P, Hillion ML, et al. Are there indications for reconstructive surgery in severe mitral regurgitation after acute myocardial infarction? Eur J Cardiothorac Surg 1990;4:394-7. https://doi.org/10.1016/1010-7940(90)90049-6
  6. Tavakoli R, Weber A, Vogt P, et al. Surgical management of acute mitral valve regurgitation due to post-infarction papillary muscle rupture. J Heart Valve Dis 2002;11:20-5; discussion 26.
  7. Fasol R, Lakew F, Wetter S. Mitral repair in patients with a ruptured papillary muscle. Am Heart J 2000;139:549-54. https://doi.org/10.1016/S0002-8703(00)90101-7
  8. Kim S, Bang JH, Woo JS. Operative treatment of mitral valve regurgitation due to chordal rupture and/or papillary muscle rupture. Korean J Thorac Cardiovasc Surg 2004;37: 401-9.
  9. Oh JH, Kim HK, Lee CK, et al. Papillary muscle rupture of the left ventricle. Korean J Thorac Cardiovasc Surg 1992; 25:936-42.