Rapid Response
10.52845/CMRO/2025/8-11-3
Abstract
A 51-year-old hypertensive male presented with worsening shortness of breath, orthopnea and paroxysmal nocturnal dyspnea. X-ray imaging revealed cardiomegaly, consolidation and bilateral pleural effusions, suggestive of pneumonia. He eventually became hemodynamically unstable. Echocardiography revealed severe mitral regurgitation secondary to complete papillary muscle rupture. Coronary angiography showed triple vessel coronary artery disease. The patient underwent urgent mitral valve replacement with a mechanical prosthesis and coronary artery bypass grafting (CABG). Post-operative recovery was uneventful and transthoracic echocardiography showed good mitral valve and systolic function.
Keywords
- papillary muscle rupture
- mitral regurgitation
- myocardial infarction
- mitral valve replacement
- coronary artery disease
- coronary artery bypass grafting
How to Cite
Stephen Maharaj, Sophina Baksh, Professor Giovanni Teodori, Mrs Natasha Rahaman, Risshi D. Rampersad . (2025). Rapid Response. Journal of Current Medical Research and Opinion , Vol. 8 No. 11 (2025) , 4506-4510 . https://doi.org/10.52845/CMRO/2025/8-11-3