International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 4 | Case Report | Open Access DOI

Inferior Myocardial Infarction, Complicated by Bilateral Papillary Muscle Rupture, Leading to Cardiogenic Shock

Diva Maraj*

Diva Maraj1*, Muhammad Ahmad Qureshi1, Richard Santos1 and Hussein Othman1

1Henry Ford Jackson Hospital, Jackson, Michigan, United States

*Correspondence to: Diva Maraj 

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Abstract

Papillary muscle rupture (PMR) is a rare life-threatening complication following myocardial infarction (MI) and most commonly involves the posteromedial muscle. We present a case of a 63-year-old male with a past medical history of hypertension, who presented with chest pain of one week duration, and was found to have a bilateral papillary muscle rupture following a late presenting inferior MI. There is currently no incidence rate of bilateral papillary muscle wall rupture documented; thus, making it an extremely rare complication following a myocardial infarction. This case highlights the need for increased surveillance in patients presenting with myocardial infarctions who develop shock, and urgent cardiac and cardiothoracic surgery consults are required to reduce the risk of mortality.

Keywords:

Papillary muscle rupture; Myocardial infarction; Cardiothoracic surgery

Citation:

Maraj D, Qureshi MA, Santos R, Othman H. Inferior Myocardial Infarction, Complicated by Bilateral Papillary Muscle Rupture, Leading to Cardiogenic Shock. Int Clinc Med Case Rep Jour. 2024;3(4):1-8.