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Valve repair for tricuspid papillary muscle rupture late after percutaneous coronary intervention
Author(s) -
Shinji Kanemitsu,
Shunsuke Sakamoto,
Naoki Yamamoto,
Hideto Shimpo
Publication year - 2018
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezy175
Subject(s) - medicine , papillary muscle , cardiology , myocardial infarction , tricuspid valve , regurgitation (circulation) , chordae tendineae , heart rupture , percutaneous coronary intervention , right coronary artery , mitral valve replacement , mitral regurgitation , mitral valve , surgery , coronary angiography
Papillary muscle rupture is a rare complication after myocardial infarction. Almost all cases occur in the papillary muscle of the mitral valve. The development of tricuspid regurgitation after right ventricular myocardial infarction caused by papillary muscle rupture is extremely rare. We present a 70-year-old man with massive tricuspid regurgitation caused by papillary muscle rupture after percutaneous coronary intervention to the right coronary artery involving a stent. We performed tricuspid valve repair with a reimplanted papillary muscle in situ using neither artificial chordae nor a prosthetic valve. Previous case reports on this surgical repair technique are not available.

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