JTCS KCI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Rony Atoui
Dominique Shum-Tim
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Atoui, R.
Right arrow Articles by Shum-Tim, D.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Atoui, R.
Right arrow Articles by Shum-Tim, D.
Related Collections
Right arrow Coronary disease
Right arrow Myocardial infarction
Right arrow Valve disease

J Thorac Cardiovasc Surg 2009;137:1275-1276
© 2009 The American Association for Thoracic Surgery

Brief Communication

Acute rupture of both papillary muscles after aortic valve replacement for infective endocarditis

Rony Atoui, MD, MSca, Tarek Hijal, MDa, Richard Fraser, MDb, Dominique Shum-Tim, MD, MSca,*

a Division of Cardiac Surgery, McGill University Health Center, Montreal, Quebec, Canada
b Department of Pathology, McGill University Health Center, Montreal, Quebec, Canada

Received for publication March 12, 2008; revisions received March 12, 2008; accepted for publication March 21, 2008.

* Address for reprints: Dominique Shum-Tim, MD, MSc, Division of Cardiothoracic Surgery, McGill University Health Center, 1650 Cedar Avenue, Montreal, Quebec, H3G 1A4, Canada. (Email: dshumtim@yahoo.ca).

The first 20% of the full text of this article appears below.

Surgical treatment of active infective valvular endocarditis is associated with substantial morbidity and mortality, particularly when the infection spreads below the primary infected valve. We report the case of a patient in whom acute mitral regurgitation (MR) developed secondary to the rupture of both papillary muscles (PMs) after aortic valve replacement (AVR) for infective endocarditis.

Clinical Summary

A previously healthy 23-year-old morbidly obese man was transferred to our hospital with a 5-day history of left-sided chest pain, dyspnea, cough, and fever. On arrival, his blood pressure was 120/48 mm Hg, with a regular pulse rate of 148 beats/min, a temperature of 38.6°C, a respiratory rate of 26 breaths/min, and an oxygen saturation of 86% on room air. The only remarkable physical findings were a grade III/VI long, diastolic, blowing murmur at the right second interspace and a progressively decreasing level of consciousness, with no focal neurologic signs. After intubation, a transesophageal echocardiogram revealed the presence of a 1 x 3-cm vegetation involving the right and left aortic . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
P. Ballo, G. Mangialavori, I. Betti, G. Giunti, F. Meucci, L. Chiodi, and A. Zuppiroli
Isolated Papillary Muscle Rupture Complicating Acute Pancreatitis
Ann. Thorac. Surg., March 1, 2011; 91(3): e36 - e38.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 by The American Association for Thoracic Surgery.