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KMID : 0368119920220040699
Korean Circulation Journal
1992 Volume.22 No. 4 p.699 ~ p.704
Rupture of Mitral Papillary Muscle Resulting form Blunt Chest Trauma: A Case Report
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Abstract
We experienced a case of mitral incompetence due to rupture of anterolateral papillary muscle in a 56-year-old male who complained of abdominal pain and mild dyspnea after being struck by a car. Clinical manifestation immediately following injury
was
minimal. but heart failure progressed rapidly 3 days after injury. Echocardiographic evaluation revealed ruptured anterolateral papillary muscle and severe mitral regurgitation on color flow imaging. There was no evidence of coronary artery
disease
on
coronary angiography. Operation revealed that the head of anterolateral papillary muscle was torn out of its insertion. Mitral valve replacement with mechanical prosthesis was performed on the 50th day after injury.
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