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Papillary Muscle Rupture: An Unusual Complication of Chordal Sparing Mitral Valve Replacement
Author(s) -
Long Michael A.,
Med M.
Publication year - 2011
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2010.01157.x
Subject(s) - medicine , mitral valve replacement , papillary muscle , complication , cardiology , surgery , mitral valve , prosthesis , aortic valve replacement , mitral valve repair , chordae tendineae , stenosis
An adult patient with advanced rheumatic heart disease undergoing chordal sparing mitral valve replacement as well as aortic valve replacement is presented. The patient developed an unusual complication of an infarction of the retained head of the anterolateral papillary muscle with subsequent spontaneous rupture 72‐hours postoperatively. The ruptured head of the papillary muscle was successfully resected via an aortotomy through the aortic valve prosthesis. The patient made an uneventful recovery. Care to avoid excessive tension on the preserved chordae during mitral valve replacement, especially in the setting of chronic rheumatic carditis, is stressed. (J Card Surg 2011;26:60‐63)