Korean Circ J. 2006 Mar;36(3):242-244. English.
Published online Mar 31, 2006.
Copyright © 2006 The Korean Society of Circulation
Case Report

Papillary Muscle Rupture Complicating a Papillary Muscle Abscess

Yong Hwan Ahn, MD,1 Nam-Ho Kim, MD,1,3 Mi-Jin Song, MD,1 Eun Mi Park, MD,1 Yun Kyung Kim, MD,1 Kyung Ho Yun, MD,1,3 Nam Jin Yoo, MD,1 Sung Hee Shin, MD,1 Eun Mi Lee, MD,1 Seok Kyu Oh, MD,1,3 Jin-Won Jeong, MD,1,3 and Jong Bum Choi, MD2,3
    • 1Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
    • 2Department of Thoracic and Cardiovsacular Surgery, Wonkwang University School of Medicine, Iksan, Korea.
    • 3The Institute of Wonkwang Medical Sciences, Iksan, Korea.
Received August 04, 2005; Revised October 10, 2005; Accepted October 10, 2005.

Abstract

Spontaneous rupture of a papillary muscle from a papillary abscess is extremely rare. Most cases of papillary muscle ruptures are due to myocardial infarction or trauma. We describe the clinical course of a 68-year-old man who died from a papillary muscle rupture as a complication of a papillary muscle abscess due to Streptococcal pyogenes septicemia.

Keywords
Mitral valve insufficiency; Papillary muscles; Streptococcus pyogenes


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