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 272
- Downloads 14
Acute Coronary Syndrome in Oman Results from the Gulf Registry of Acute Coronary Events
Acute coronary syndrome (ACS) is the most common cause of cardiovascular mortality and morbidity in Western countries. International guidelines for diagnosis and treatment have been developed based on randomised clinic...
Nitric Oxide and Antioxidant Enzymes in Venous and Cord Blood of Late Preterm and Term Omani Mothers
Objectives: Tis study assessed the role of oxidative stress in parturition in Omani mothers following growing reports that late preterm neonates were at greater risk than term neonates of perinatal death. Methods: Veno...
Opportunistic Infections and Complications in Human Immunodefciency Virus-1-Infected Children Correlation with immune status
Objectives: Te aim of this study was to ascertain the correlation between various opportunistic infections and complications in human immunodefciency virus (HIV)-1-infected children and the immune status of these patie...
Association between Bioactive Molecules in Breast Milk and Type 1 Diabetes Mellitus
The association between breastfeeding and type 1 diabetes mellitus (T1DM) is controversial. However, several recent studies have established a link between these two factors, necessitating a need to review this subject t...
Revisiting the Prevalence of Autism Spectrum Disorder among Omani Children: A multicentre study
Objectives: This study aimed to provide an updated estimate of the prevalence of autism spectrum disorder (ASD) among Omani children. Methods: This retrospective descriptive study was conducted from December 2011 to Dece...