title: [Interest of circulatory assistance mobile unit for cardiovascular surgical pathology support at distance of specialized centers: about a case of papillary muscle rupture].
abstract: Papillary muscle rupture is a classical, but not frequent life-threatening complication of myocardial infarction. The only treatment consists in mitral valve surgical replacement. It should be performed in a hospital with specialized critical care and a cardiac surgery unit. The problem we are talking about in this article is the transfer of very instable patients in a specialized center before surgery. We also discuss the interest of mobile unit of cardiac assistance to manage patients in hospital without cardiac surgery then to transfer them. We discuss also the initial management in the cardiac surgery and critical care unit.
authors.affiliation: Unité de réanimation de chirurgie cardiaque, service d'anesthésie-réanimation adultes, CHU de La Timone, 126 rue Saint-Pierre, Marseille cedex 05, France. gllacroix@aol.com
authors.forename: G
authors.initials: G
authors.lastname: Lacroix
authors.forename: M
authors.initials: M
authors.lastname: Pankert
authors.forename: L
authors.initials: L
authors.lastname: Nee
authors.forename: A
authors.initials: A
authors.lastname: Riberi
authors.forename: F
authors.initials: F
authors.lastname: Kerbaul
mesh_terms: D000552:Ambulances; D001243:Assisted Circulation; D006348:Cardiac Surgical Procedures; D004452:Echocardiography; D004562:Electrocardiography; D006342:Heart Rupture, Post-Infarction / Q000150:complications* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D009203:Myocardial Infarction / Q000150:complications; D010210:Papillary Muscles / Q000000981:diagnostic imaging / Q000293:injuries*; D010360:Patient Transfer; D012421:Rupture; D013903:Thoracic Surgery / Q000458:organization & administration*; D014416:Tunisia