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Perioperative Management and Diagnostic Dilemma in a Rare Case of Traumatic Papillary Muscle Rupture with Severe

Arupratan Maiti1, Amrita Guha, Sushan Mukhopadhyaya

  • 1Department of Cardiac Anaestheia, Apollo Multispeciality Hospital, Kolkata, West Bengal, India.

Annals of Cardiac Anaesthesia
|January 16, 2026
PubMed

Insights

Traumatic papillary muscle rupture caused severe mitral regurgitation (MR) in a patient with blunt chest trauma. Surgical repair of the mitral valve and ventricular septal defect (VSD) led to successful recovery.

Area of Science:

  • Cardiology
  • Trauma Surgery
  • Cardiac Surgery

Background:

  • Traumatic papillary muscle rupture is a rare cause of acute mitral regurgitation (MR).
  • Blunt chest trauma can lead to cardiac injuries, sometimes masked by other trauma symptoms.
  • Prompt diagnosis and management are crucial for favorable outcomes.

Purpose of the Study:

  • To report the perioperative management of a unique case of severe MR due to traumatic papillary muscle rupture.
  • To highlight the diagnostic challenges and successful surgical intervention in such cases.
  • To emphasize the importance of thorough cardiac evaluation after chest trauma.

Main Methods:

  • Case report of a 33-year-old male with blunt chest trauma.
  • Diagnosis of posteromedial papillary muscle rupture and severe MR.
  • Identification of an associated Ventricular Septal Defect (VSD).
  • Surgical intervention including mitral valve replacement (MVR) and VSD repair.

Main Results:

  • The patient underwent successful MVR and VSD repair.
  • The patient was discharged on the sixth postoperative day.
  • The management strategy effectively addressed the severe MR and VSD.

Conclusions:

  • Traumatic papillary muscle rupture is a critical complication of chest trauma requiring timely surgical intervention.
  • Associated cardiac defects like VSD can occur and necessitate simultaneous repair.
  • Comprehensive cardiac assessment is vital to prevent diagnostic delays in trauma patients.
Keywords:
Papillary muscle rupturetraumatic mitral valve regurgitationventricular septal defect

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