title: [Acute mitral regurgitation caused by infarction-related papillary muscle rupture with successful surgical treatment: case report].
abstract: We present a case of severe complication of myocardial infarction -- acute mitral regurgitation caused by papillary muscle rupture. A 69-year-old man was admitted with chest pain lasting 1 hour and pulmonary oedema. ECG revealed ST-segment depression in leads II, III, aVF, V2-V6. Soon after admission the patient experienced respiratory disorders and consequently arrest. The patient was transferred in shock to the Department of Cardiothoracic Surgery, where he underwent successful artificial mitral valve implantation. One year later the patient is in good condition (NYHA class I) and the valve is fully functional.
authors.affiliation: II Katedra Kardiologii, Uniwersytet Medyczny, ul Kniaziewicza 1/5, 91-347, Łódź, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Lipiec
authors.forename: Barbara
authors.initials: B
authors.lastname: Uznańska
authors.forename: Maria
authors.initials: M
authors.lastname: Krzemińska-Pakuła
authors.forename: Paulina
authors.initials: P
authors.lastname: Wejner-Mik
authors.forename: Lukasz
authors.initials: L
authors.lastname: Chrzanowski
authors.forename: Jarosław D
authors.initials: JD
authors.lastname: Kasprzak
mesh_terms: D000368:Aged; D006342:Heart Rupture, Post-Infarction / Q000000981:diagnostic imaging / Q000209:etiology; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D009203:Myocardial Infarction / Q000150:complications*; D010210:Papillary Muscles / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography