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Updated: Jan 20, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Papillary muscle rupture following routine aortic valve replacement
Amy G Fiedler1, Nilto C De Oliveira1, Joshua L Hermsen1
1Division of Cardiothoracic Surgery, University of Wisconsin, Madison, Wisconsin.
Aortic valve replacement can rarely cause a small vessel embolic event, leading to papillary muscle rupture and severe mitral regurgitation. This case highlights a unique complication following elective aortic valve replacement surgery.
Area of Science:
- Cardiovascular Surgery
- Cardiac Pathology
- Interventional Cardiology
Background:
- Aortic valve replacement (AVR) is a common procedure for aortic insufficiency.
- Complications can arise, but embolic events to small coronary vessels causing papillary muscle rupture are rare.
- Mitral regurgitation is a potential sequela of papillary muscle dysfunction or rupture.
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