Rupture of the anterolateral papillary muscle caused by a single diagonal branch obstruction.
This report presents the first case of anterolateral papillary muscle rupture caused by a diagonal branch occlusion only. Although the patient was in shock on admission, he was successfully treated by emergency surgery after hemodynamic stabilization by a percutaneous cardiopulmonary support system. This case implies that the anterolateral papillary muscle has a single blood supply and that it can rupture by an occlusion of only one diagonal branch even after balloon angioplasty.
Wada
Hiroshi
H
Department of Integrated Medicine 1, Omiya Medical Center, Jichii Medical School, Saitama, Japan.
Yasu
Takanori
T
Murata
Seiichiro
S
Ohta
Masahiro
M
Kubo
Norifumi
N
Fujii
Mikihisa
M
Kuroki
Masatoshi
M
Kawakami
Masanobu
M
Saito
Muneyasu
M
D000368:Aged; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis*; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D006342:Heart Rupture, Post-Infarction / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D010210:Papillary Muscles / Q000000981:diagnostic imaging / Q000473:pathology*; D012770:Shock, Cardiogenic / Q000209:etiology