The Diffcult Diagnosis of Ischaemic Papillary Muscle Rupture Case report from an urban emergency department
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 2
Abstract
We present a rare case of severe ischaemic papillary muscle rupture in a 67-year-old male patient who was admitted to the Emergency Department of the University Hospital Bern, Switzerland, in November 2013 with acute chest pain. On admission, the patient’s blood pressure was 60/40 mm/Hg, his pulse was 110 beats per minute and his respiratory rate was 20 breaths per minute. An electrocardiogram was normal and focused assessment with sonography in trauma was negative. Transthoracic echocardiography showed possible thickening of the mitral valve leaflet with no indications of severe mitral insufciency or wall motion abnormalities. Triple-ruleout computed tomography angiography revealed no pulmonary emboli or aortic dissection, although coronary atherosclerosis was present. Finally, severe insufciency of the mitral valve with rupture of the papillary muscle, likely due to ischaemia, was observed via transoesophageal echocardiography. Te patient underwent a successful surgical intervention and was discharged 10 days later in stable condition.
Authors and Affiliations
Christian T. Braun| Emergency Department, University Hospital Bern, Switzerland, Meret E. Ricklin| Emergency Department, University Hospital Bern, Switzerland, Aristomenis K. Exadaktylos| Emergency Department, University Hospital Bern, Switzerland
Keywords
Related Articles
- EP ID EP14672
- DOI -
- Views 291
- Downloads 14
Health Professions Education in Oman A contemporary perspective
A polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) test to detect the common mutation (35delG) in the connexin-26 gene
Objective: To develop a polymerase chain reaction (PCR) based test for the detection of a common frame-shift mutation (35delG) in the connexin-26 (GJB2) gene, and to investigate the status of this mutation in Oman. Metho...
Thymic proliferativeresponseduring different physiologicalstates: a comparative study
–To study the thymic proliferative response during different physiological states to distinguish those changes due to alterations in steroid hormone secretion from those resulting from the presence of sperma...
Complementary and Alternative Medicine Where do we stand in the 21st century?
Health Workforce Planning An overview and suggested approach in Oman
In most countries, the lack of explicit health workforce planning has resulted in imbalances that threaten the capacity of healthcare systems to attain their objectives. Tis has directed attention towards the prospect...