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Case report
Rupture of mitral valve papillary muscle: a rare complication following myocardial infarction
  1. Vinit Sawhney1,2,
  2. Shivasankar Murugan2,
  3. Fahad Iqbal1 and
  4. Amal Muthumala1,2
  1. 1Cardiology, North Middlesex University Hospital, London, UK
  2. 2Cardiology, St Bartholomew's Hospital, London, UK
  1. Correspondence to Dr Vinit Sawhney; sawhneyvin{at}


Here we present a rare clinical presentation of papillary muscle rupture in a 55-year-old man who presented to accident and emergency department with chest pain and was diagnosed as having had a non-ST elevation myocardial infarction. During the admission, he developed papillary muscle rupture due to the myocardial infarction resulting in acute mitral regurgitation. This caused significant haemodynamic compromise needing emergency admission to the intensive care unit and eventually surgery to replace the valve.

  • ischaemic heart disease
  • interventional cardiology
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  • Contributors VS: conception and design, acquiring data, writing manuscript; SM: acquiring data, obtaining consent, writing manuscript; FI: acquiring data, reviewing manuscript; AM: conception and design, reviewing manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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