Journal of Nihon University Medical Association
Online ISSN : 1884-0779
Print ISSN : 0029-0424
ISSN-L : 0029-0424
Clinical Reports:
A Surgical Case of Mitral Regurgitation with Papillary Muscle Rupture after Sub-acute Myocardial Infarction in an Oldest-old Male
Kana Takahashi, Hiroaki Hata, Akira Sezai, Kin-ichi Nakata, Isamu Yoshitake, Haruka Kimura, Tatsuya Takamori, Motomi Shiono, Tadateru Takayama, Atsushi Hirayama, Yasuhumi Utsumi
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Keywords: acute myocardial infarction, papillary muscle rupture, mitral valve regurgitation
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2012 Volume 71 Issue 2 Pages 133-137

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Abstract
Papillary muscle rupture is considered to be one of the least frequently critical complications of acute myocardial infarction. It causes rapid hemodynamic collapse, and requires surgical treatment. Recently, cardiac surgeries have increased in the oldest-old patients, however postoperative complications are comparatively high among these patients. An octogenarian male patient was admitted with chest pain and dyspnea, and diagnosed with rupture of the papillary muscle after sub-acute myocardial infarction. Urgent mitral valve replacement was performed. The postoperative condition was favorable with no complication and the patient was discharged 12 days after the operation.
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© 2012 The Nihon University Medical Association
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