title: Severe post-ischemic elongation of the anterior papillary muscle: an unusual cause of mitral insufficiency in a 75-year-old man.
abstract: As a complication of myocardial ischemia, severe elongation of the anterior papillary muscle with resultant mitral valve insufficiency is a rare clinical finding. Using echocardiography, we accurately diagnosed this condition in a 75-year-old man. The patient underwent successful plication of the elongated anterior papillary muscle and the implantation of polytetrafluoroethylene neochordae tendineae.
authors.affiliation: Department of Cardiology, Policlinico di Monza, Presidio San Gaudenzio, 28100 Novara, Italy.
authors.forename: Bogdan Adrian
authors.initials: BA
authors.lastname: Popa
authors.forename: Marco
authors.initials: M
authors.lastname: Diena
authors.forename: Gheorghe
authors.initials: G
authors.lastname: Cerin
authors.forename: Guido
authors.initials: G
authors.lastname: Lanzillo
authors.forename: Ugo Filippo
authors.initials: UF
authors.lastname: Tesler
mesh_terms: D000368:Aged; D002815:Chordae Tendineae / Q000601:surgery; D018618:Echocardiography, Doppler, Color; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017202:Myocardial Ischemia / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D010210:Papillary Muscles / Q000000981:diagnostic imaging* / Q000601:surgery; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D016896:Treatment Outcome
chemical_list: D011138:Polytetrafluoroethylene