Postpartum rupture of the posteromedial papillary muscle.
We report a case of postpartum severe mitral regurgitation caused by papillary muscle rupture in a female with normal coronary arteries. The etiology of papillary muscle rupture was endocarditis from puerperal fever. Clinical stabilization was achieved with extracorporeal membrane oxygenation (ECMO) followed by mitral valve replacement two days later.
Division of Cardiothoracic Surgery, College of Medicine, University of Arizona, Tucson, Arizona 85724-5071, USA.
Adam J
AJ
Hansen
Vincent L
VL
Sorrell
Anthony D
AD
Cooper
Michael J
MJ
Moulton
D000328:Adult; D009202:Cardiomyopathies / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D010210:Papillary Muscles / Q000473:pathology*; D011645:Puerperal Infection / Q000175:diagnosis* / Q000601:surgery; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery