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Acute Myocardial Infarction and Papillary Muscle Rupture in the COVID-19 Era

Auras R Atreya1, Kris Kawamoto1, Prasanthi Yelavarthy1

  • 1Division of Cardiovascular Medicine and Cardiac Surgery, Frankel Cardiovascular Center, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.

JACC. Case Reports
|August 26, 2020
PubMed

Insights

Mechanical complications after myocardial infarction, like papillary muscle rupture causing severe mitral regurgitation, are rare but deadly. Early detection and prompt surgery are crucial for survival.

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Mechanical complications of acute myocardial infarction (AMI) are infrequent with modern treatments.
  • These complications carry high mortality rates.

Observation:

  • Papillary muscle rupture leading to acute severe mitral regurgitation is a life-threatening complication.
  • This condition necessitates prompt diagnosis and immediate surgical intervention.

Findings:

  • The study focuses on the critical nature of papillary muscle rupture post-AMI.
  • Highlights the importance of recognizing this rare but severe event.

Implications:

  • Early detection and urgent surgical repair are vital for improving patient outcomes.
  • Emphasizes the need for vigilance in managing mechanical complications of AMI.

Keywords:
AMI, acute myocardial infarctionCOVID-19COVID-19, coronavirus disease-2019IABP, intra-aortic balloon pumpMR, mitral regurgitationST-segment elevation myocardial infarctionSTEMI, ST-segment elevation myocardial infarctionTEE, transesophageal echocardiogramVA ECMO, venoarterial extra corporeal membrane oxygenationacute coronary syndromemitral regurgitationpapillary muscle rupturepercutaneous coronary interventiontransesophageal echocardiography

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