title: [Papillary Muscle Rupture after Repair of Ischemic Left Ventricular Free Wall Rupture; Report of a Case].
abstract: A 67-year-old man experienced acute inferior myocardial infarction. Echocardiography and computed tomography showed massive pericardial effusion. He underwent emergency operation for ischemic ventricular free wall rupture. During the operation, an oozing type rupture was found on the inferior wall and the bleeding was completely controlled by applying fibrin glue sheets. On the 5th day after the operation, ventricular tachycardia appeared with hemodynamic deterioration. Echocardiography showed a ruptured posteromedial papillary muscle with massive mitral regurgitation. Intra-aortic balloon pumping was introduced and emergency repair operation was performed. The mitral valve was replaced with a bioprosthetic valve. The postoperative course was uneventful.
authors.affiliation: Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Japan.
authors.forename: Soki
authors.initials: S
authors.lastname: Kurumisawa
authors.forename: Yuichirou
authors.initials: Y
authors.lastname: Kaminishi
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Akutsu
authors.forename: Ippei
authors.initials: I
authors.lastname: Takazawa
authors.forename: Kei
authors.initials: K
authors.lastname: Aizawa
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Misawa
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures; D004562:Electrocardiography; D004632:Emergency Medical Services; D006341:Heart Rupture / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000150:complications / Q000601:surgery*; D010210:Papillary Muscles / Q000601:surgery*; D014057:Tomography, X-Ray Computed