Acute Papillary Muscle Rupture Leading To Heart Failure In The Setting Of Acute Coronary Syndrome

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Conference Proceeding

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A 72-year-old male with prior history of coronary artery disease who presented intubated from an outside hospital with fulminant pulmonary edema and cardiogenic shock. Soon after arrival, transesophageal echocardiogram (TEE) was performed and a flail posterior leaflet of the mitral valve secondary to ruptured papillary muscle was seen. He was then taken to the operating room the following day and the mitral valve was replaced with a bioprosthetic valve. This case will discuss diagnosis using TEE and prompt management of papillary muscle rupture.


American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.