AI Article Synopsis
- Papillary muscle rupture is a serious and uncommon complication usually occurring after a heart attack, but it can also be caused by heart procedures.
- The case discussed involves a patient in cardiogenic shock due to severe mitral regurgitation caused by an iatrogenic rupture during a cardiac examination.
- The treatment included using a device called Impella CP to support heart function and an urgent surgery to replace the damaged mitral valve, emphasizing the risks linked to minimally invasive heart procedures.
Article Abstract
Papillary Muscle rupture is a rare and potentially life-threatening complication that is typically observed in the days following acute myocardial infarction. Less commonly, rupture of a papillary muscle may arise as an iatrogenic complication of cardiac procedures. We present a case of cardiogenic shock in the setting of torrential mitral regurgitation secondary to iatrogenic papillary muscle rupture during a left ventricular angiogram. The patient was placed on percutaneous mechanical circulatory support with Impella CP and transferred for emergent mitral valve replacement. This case highlights the potential complications of minimally invasive cardiac procedures and reviews the management of acute severe mitral regurgitation.
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| http://dx.doi.org/10.1136/bcr-2024-261836 | DOI Listing |
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