A New Surgical Repair Technique for Ischemic Total Papillary Muscle Rupture

Sung Kwang Lee; Woon Heo; Ho-Ki Min; Do Kyun Kang; Hee Jae Jun; Youn-Ho Hwang

doi:10.1016/j.athoracsur.2014.12.091

A New Surgical Repair Technique for Ischemic Total Papillary Muscle Rupture

Ann Thorac Surg. 2015 Nov;100(5):1891-3. doi: 10.1016/j.athoracsur.2014.12.091.

Authors

Sung Kwang Lee¹, Woon Heo¹, Ho-Ki Min², Do Kyun Kang¹, Hee Jae Jun¹, Youn-Ho Hwang¹

Affiliations

¹ Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea.
² Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea. Electronic address: minhoki@naver.com.

PMID: 26522535
DOI: 10.1016/j.athoracsur.2014.12.091

Abstract

Papillary muscle (PM) rupture is an emergency surgical condition that may occur after acute myocardial infarction. In patients with compete rupture of the PM, mitral valve replacement is preferred or recommended generally because of unstable vital signs or technical difficulties with successful repair, as compared with patients with partial PM rupture. This case report describes the successful repair of a complete anterolateral PM rupture by using the single PM formation technique with subsequent ring annuloplasty.

MeSH terms

Aged
Cardiac Surgical Procedures* / methods
Coronary Angiography
Echocardiography, Transesophageal
Humans
Male
Mitral Valve / diagnostic imaging
Mitral Valve Annuloplasty* / methods
Mitral Valve Insufficiency / etiology
Mitral Valve Insufficiency / surgery*
Myocardial Infarction / complications
Papillary Muscles / injuries*
Papillary Muscles / surgery*
Rupture