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- Alejandro Vazquez, Ana Osa, Rosario Vicente, and Jose A Montero.
- Department of Cardiac Surgery, Hospital Universitari i Politècnic La Fe, Valencia, Spain avazsan@gmail.com.
- Interact Cardiovasc Thorac Surg. 2014 Sep 1; 19 (3): 535-6.
AbstractLeft ventricular free wall rupture and acute ischaemic mitral regurgitation are nowadays rare, but still potentially lethal mechanical complications after acute myocardial infarction. We report a case of a sequential left ventricular free wall rupture, anterolateral papillary muscle disruption, secondary severe mitral regurgitation and subsequent posteromedial papillary muscle head rupture in a single patient during the same ischaemic episode after myocardial infarction, and their related successful surgical procedures and management until discharge. Prompt bedside diagnosis and emergent consecutive surgical procedures, as well as temporary left ventricular assistance, were crucial in the survival of this patient. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
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