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Nagumo M, Saito T, Sakai T, Iwanaga S. Severe tricuspid regurgitation due to papillary muscle rupture: a rare complication of anterior myocardial infarction and ventricular septal perforation. Eur Heart J Case Rep 2020; 4:1-3. [PMID: 33629006 PMCID: PMC7891262 DOI: 10.1093/ehjcr/ytaa341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 06/23/2020] [Accepted: 09/02/2020] [Indexed: 11/19/2022]
Affiliation(s)
- Miyako Nagumo
- Department of Cardiology, Nippon Koukan Hospital, 1-2-1 Koukandouri, Kawasaki-ku, Kawasaki, Kanagawa 210-0852, Japan
| | - Takashi Saito
- Department of Cardiology, Nippon Koukan Hospital, 1-2-1 Koukandouri, Kawasaki-ku, Kawasaki, Kanagawa 210-0852, Japan
| | - Tetsuo Sakai
- Department of Cardiology, Nippon Koukan Hospital, 1-2-1 Koukandouri, Kawasaki-ku, Kawasaki, Kanagawa 210-0852, Japan
| | - Shiro Iwanaga
- Department of Cardiology, Saitama Medical University, International Medical Center, 1397-1 Yamane, Hidaka, Saitama 350-1298, Japan
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Pereira J, Essa M, Sugeng L. Double Rupture of a Tricuspid Papillary Muscle and Ventricular Septum: A Rare Combination after Myocardial Infarction. CASE 2019; 3:85-88. [PMID: 31049486 PMCID: PMC6479214 DOI: 10.1016/j.case.2018.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Double rupture involves the posterior ventricular septum and tricuspid PM. Echocardiography is key for efficient and quick evaluation of MI complications. Three-dimensional echocardiography enhances visualization and measurement of VSR.
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Kanemitsu S, Sakamoto S, Yamamoto N, Shimpo H. Valve repair for tricuspid papillary muscle rupture late after percutaneous coronary intervention. Eur J Cardiothorac Surg 2018; 54:959-961. [PMID: 29733328 DOI: 10.1093/ejcts/ezy175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Accepted: 03/27/2018] [Indexed: 11/12/2022] Open
Abstract
Papillary muscle rupture is a rare complication after myocardial infarction. Almost all cases occur in the papillary muscle of the mitral valve. The development of tricuspid regurgitation after right ventricular myocardial infarction caused by papillary muscle rupture is extremely rare. We present a 70-year-old man with massive tricuspid regurgitation caused by papillary muscle rupture after percutaneous coronary intervention to the right coronary artery involving a stent. We performed tricuspid valve repair with a reimplanted papillary muscle in situ using neither artificial chordae nor a prosthetic valve. Previous case reports on this surgical repair technique are not available.
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Affiliation(s)
- Shinji Kanemitsu
- Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Mie, Japan
| | - Shunsuke Sakamoto
- Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Mie, Japan
| | - Naoki Yamamoto
- Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Mie, Japan
| | - Hideto Shimpo
- Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Mie, Japan
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Tatekoshi Y, Yuda S, Ogasawara M, Muranaka A, Kokubu N, Hase M, Tachibana K, Tsuchihashi K, Higami T, Miura T. Successful diagnosis of pericardial rupture caused by blunt chest trauma using contrast ultrasonography. J Med Ultrason (2001) 2015; 43:95-8. [PMID: 26703173 DOI: 10.1007/s10396-015-0663-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2015] [Accepted: 07/09/2015] [Indexed: 10/23/2022]
Abstract
A 65-year-old male developed acute myocardial infarction due to coronary artery dissection and tricuspid valve injury after blunt chest trauma. Acute myocardial infarction was treated by coronary artery intervention; however, refractory heart failure with pleural effusion remained. The first transthoracic echocardiography (TTE) on admission failed to clearly visualize the tricuspid valve and right ventricle due to poor image quality. A follow-up TTE with contrast ultrasonography revealed pericardial rupture in addition to tricuspid regurgitation. Ruptures of the tricuspid papillary muscle and pericardium were confirmed during surgery and were repaired successfully. Blunt chest trauma results in various cardiac injuries including cardiac rupture, intramural hematoma, valvular injury, coronary artery injury, and electrical disturbances, leading to critical conditions and high mortality. Of such blunt trauma-induced injuries, coronary artery dissection, tricuspid valve injury, and pericardial rupture caused by blunt chest trauma are rare, and simultaneous occurrence of the three types of injuries that were successfully repaired has not been reported. In addition, this case indicates the utility of contrast ultrasonography for diagnosis of pericardial rupture caused by blunt chest trauma.
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Affiliation(s)
- Yuki Tatekoshi
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-0061, Japan.
| | - Satoshi Yuda
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-0061, Japan.,Department of Infection Control and Clinical Laboratory Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Makoto Ogasawara
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-0061, Japan
| | - Atsuko Muranaka
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-0061, Japan
| | - Nobuaki Kokubu
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-0061, Japan
| | - Mamoru Hase
- Department of Emergency Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Kazutoshi Tachibana
- Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Kazufumi Tsuchihashi
- Division of Health Care Administration and Management, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Tetsuya Higami
- Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Tetsuji Miura
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-0061, Japan
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Kumar S, Shumaster V, Modak R, Bellumkonda L, Jacoby D, Mangi AA. Right atrial approach for surgical repair of post infarction ventricular septal defect and acute tricuspid regurgitation with cardiogenic shock. Heart Lung Circ 2012; 22:441-3. [PMID: 23219309 DOI: 10.1016/j.hlc.2012.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2012] [Revised: 10/22/2012] [Accepted: 10/24/2012] [Indexed: 10/27/2022]
Abstract
A complex case of inferior wall infarction with ventricular septal defect and severe tricuspid valve regurgitation due to acute papillary muscle rupture in a 65 year-old male is described. This constellation of pathological lesions and the surgical approach to the repair have not been previously described.
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Affiliation(s)
- Sanjay Kumar
- Section of Cardiac Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
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