Rupture of the papillary muscle of the triscupid valve

Gerry, Joseph L.; Bulkley, Bernadine H.; Hutchins, Grover M.

doi:10.1016/0002-9149(77)90205-3

Cited by 30 publications

(5 citation statements)

References 14 publications

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“…When rapidly identified, such injuries may be successfully managed with thoracotomy and cardiac repair. 12 Other significant cardiac complications of CPR including intracavitary hematoma, 35 prosthetic valve dehiscence, 30 papillary muscle rupture, 36 and conductions system injuries that occurred in up to 10% of patients in one report. 37 …”

Section: Resultsmentioning

confidence: 95%

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

et al. 2014

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OBJECTIVE The incidence of thoracic injuries resulting from cardiopulmonary resuscitation (CPR) is not well characterized. We describe a case in which a CPR-associated atrial rupture was identified with ultrasound and successfully managed in the intensive care unit with a bedside thoracotomy and atrial repair. We then describe a systematic review with pooled data analysis of CPR-associated cardiovascular, pulmonary, pleural, and thoracic wall injuries. DATA SOURCES PubMed, Scopus, EMBASE, and Web of Science were searched to identify relevant published studies. Unpublished studies were identified by searching the Australian and New Zealand Clinical Trials Registry, World Health Organization International Clinical Trials Registry Platform, Cochrane Library, ClinicalTrials.gov, Current Controlled Trials, and Google. STUDY SELECTION Inclusion criteria for the pooled analysis were any clinical or autopsy study in which a) patients underwent cardiopulmonary resuscitation, b) chest compressions were administered either manually or with the assistance of active compression-decompression devices, and c) autopsy or dedicated imaging assessments were conducted to identify complications. Exclusion criteria for the pooled analysis were pre-clinical studies, case reports and abstracts. DATA EXTRACTION Nine-hundred twenty-eight potentially relevant references were identified. Twenty-seven references met inclusion criteria. DATA SYNTHESIS A systematic review of the literature is provided with pooled data analysis. CONCLUSIONS The incidence of reported CPR-associated cardiovascular and thoracic wall injuries varies widely. CPR with active compression-decompression devices has a higher reported incidence of cardiopulmonary injuries. Bedside ultrasound may be a useful adjunct to assess and risk-stratify patients to identify serious or life-threatening CPR-associated injuries.

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Section: Resultsmentioning

confidence: 95%

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

et al. 2014

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“…If the blow happens to coincide with late systole, when the atrioventricular valves are closed and the chordae and papillary muscles are under tension, laceration of the valve cusps and rupture of the chordae and papillary muscle could ensue. 2 14 1 It has in the past been noted that TR caused by rupture of the anterior papillary muscle has a severe prognosis and most of the cases had either a fatal outcome or required early surgical repair.7 16 Our experience is different as the patient survived eight years after the trauma, before surgical correction. We agree with Astori7 that surgical treatment is indicated only when medical treatment fails to relieve the symptoms, unlike Jhanke et al'4 who advocate early surgical correction.…”

Section: Discussionmentioning

confidence: 93%

Tricuspid regurgitation caused by blunt chest trauma in association with pericardial agenesis: surgical correction after eight years.

Fracasso¹,

Pothen²,

Gallucci³

1982

Thorax

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“…"In the setting of acute of the right coronary artery leading to a myocardial infarction and RV involvement, TV papillary muscle rupture may occur, as described in the current case. Aside from ischemia, a rare causal factor, more common causes of tricuspid papillary muscle rupture include endocarditis, myxomatous degeneration, external cardiac massage, and both penetrating and nonpenetrating trauma" [10,11]. "Because of the anterior position of the right ventricle in relation to the chest wall, nonpenetrating blunt trauma incidents, such as high-velocity motor vehicle accidents, are prevalent sources of both tricuspid ruptured papillary muscles and torn chordae tendineae" [12].…”

Section: Discussionmentioning

confidence: 99%

A Rare Ischemic Complication: Tricuspid Pillar Rupture after Anterior Myocardial Infarction

Rouam,

Boutgourine,

Zinneddine

et al. 2024

Cardiol. Angiol. Int. J.

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The rupture of the papillary muscle (PRM) after a myocardial infarction (MI) became rare since the introduction of primary angioplasty. In most cases in literature, it’s reported in the mitral valve. Followed by a PMR of the tricuspid valve (TV), which is extremely rare. We described a case of a 78-year-old patient, who was admitted to the emergency room for a delayed anterior ST elevation myocardial infarction. It was later complicated by papillary muscle rupture after a percutaneous coronary intervention (PCI) of the right coronary artery involving a stent. The patient underwent surgical repair of the TV with fatal evolution.

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Rupture of the papillary muscle of the triscupid valve

Cited by 30 publications

References 14 publications

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

Tricuspid regurgitation caused by blunt chest trauma in association with pericardial agenesis: surgical correction after eight years.

A Rare Ischemic Complication: Tricuspid Pillar Rupture after Anterior Myocardial Infarction

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