Rupture of papillary muscle during dobutamine stress echocardiography.
A 72-year-old man presented with an acute myocardial infarction, he did not receive any reperfusion therapy because he presented as a non-ST elevation myocardial infarction (MI). A dobutamine stress echocardiography was done five days after. A partial rupture of the posterior papillary muscle occurred during the stress test. The patient developed cardiogenic shock; he improved after medical management, and mitral repair was done a few days after.
Kemdem
A
A
Service de cardiologie, CHU Saint-Pierre, 322, rue Haute, 1000 Bruxelles, Belgium. Arsene.kemdem@gmail.com <Arsene.kemdem@gmail.com>
Briki
R
R
Lemaitre
F
F
Jahjah
L
L
Guimfacq
V
V
Sakabenis
D
D
Matouk
M
M
Vandenbossche
J-L
JL
D000368:Aged; D025401:Echocardiography, Stress / Q000009:adverse effects*; D006342:Heart Rupture, Post-Infarction / Q000209:etiology*; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008297:Male; D008944:Mitral Valve Insufficiency / Q000209:etiology; D010210:Papillary Muscles / Q000473:pathology*; D011654:Pulmonary Edema / Q000209:etiology; D012770:Shock, Cardiogenic / Q000209:etiology