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Papillary muscle rupture following routine aortic valve replacement
Author(s) -
Fiedler Amy G.,
De Oliveira Nilto C.,
Hermsen Joshua L.
Publication year - 2019
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/jocs.14247
Subject(s) - medicine , papillary muscle , mitral valve replacement , cardiology , aortic valve replacement , endocarditis , aortic valve , regurgitation (circulation) , embolization , surgery , mitral regurgitation , myocardial infarction , mitral valve , stenosis
A 56‐year‐old man who underwent routine aortic valve replacement (AVR) for aortic insufficiency suffered a presumed embolic event to a small vessel supplying the posteromedial papillary muscle. This led to papillary muscle rupture, and severe, acute mitral regurgitation requiring emergent mitral valve replacement 6 days postoperatively. Small‐vessel coronary embolization outside the setting of infection/endocarditis leading to infarction and papillary muscle rupture following elective AVR has not been previously described in the literature.