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

Flail Mitral Leaflet Post-Myocardial Infarction - A Lethal Mechanical Complication

Dinakaran Umashankar*

Dinakaran Umashankar *, Christian Toquica Gahona, Quang Dat Ha, Roopeessh Vempati, Muhammad Sanusi, Utheja Dasari, Michele DeGregorio

Trinity Health Oakland Hospital, Pontiac, Michigan

*Correspondence to: Dinakaran Umashankar 

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Abstract

Flail mitral leaflet (FML) caused by papillary muscle rupture is an uncommon mechanical complication following myocardial infarction (MI), with an incidence of less than 1%.[1] It typically occurs 2-7 days post-infarction, and its clinical ramifications can range from mild symptoms to acute heart failure or cardiogenic shock.[2,3] The mortality rate associated with this complication is approximately 71%[4] in patients who do not undergo valvular surgery, highlighting the critical need for immediate intervention. Although infrequent, FML remains a life-threatening mechanical complication of MI, with its incidence decreasing in recent years due to advancements in reperfusion strategies. We present a case that underscores the importance of prompt recognition and management to optimize patient outcomes.

Keywords:

Flail mitral leaflet; Muscle; Myocardial infarction

Citation:

Dinakaran Umashankar, Christian Toquica Gahona, Quang Dat Ha, Roopeessh Vempati, Muhammad Sanusi, Utheja Dasari, Michele DeGregorio. Flail Mitral Leaflet Post-Myocardial Infarction - A Lethal Mechanical Complication. Int Clinc Med Case Rep Jour. 2025;4(3):1-4.