Medical Practice and Reviews

  • Abbreviation: Med. Pract. Rev.
  • Language: English
  • ISSN: 2141-2596
  • DOI: 10.5897/MPR
  • Start Year: 2010
  • Published Articles: 43

Case Report

The great masquerader: Papillary muscle rupture, a diagnosis forgotten?

Sunil Naik
  • Sunil Naik
  • Providence Hospital Heart Institute, 16001 W. 9 Mile Road, Southfield, MI 48075, USA.
  • Google Scholar
Danielle Rayome
  • Danielle Rayome
  • Providence Hospital Heart Institute, 16001 W. 9 Mile Road, Southfield, MI 48075, USA.
  • Google Scholar
Wadie David
  • Wadie David
  • Michigan State University, 426 Auditorium Road, East Lansing, MI 48823, USA.
  • Google Scholar
Shukri David
  • Shukri David
  • Providence Hospital Heart Institute, 16001 W. 9 Mile Road, Southfield, MI 48075, USA.
  • Google Scholar


  •  Accepted: 06 March 2013
  •  Published: 31 March 2013

Abstract

Acute papillary muscle rupture (PMR) often results in acute, torrential mitral regurgitation and florid pulmonary edema. This catastrophic consequence of a subacute presentation of myocardial infarction is associated with a high mortality rate if not identified quickly. The incidence of PMR has decreased in the era of early percutaneous interventions for acute coronary syndromes. However, the importance of prompt recognition and intervention for this condition is paramount. We present a classic case of PMR and the associated hemodynamics, diagnosis and therapeutic management. This case serves as a guide in unmasking this fatal condition.

 

Key words: Papillary muscle rupture (PMR), diagnosis, myocardial infarction, pulmonary edema.