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Ann Thorac Surg 2001;72:1384-1386
© 2001 The Society of Thoracic Surgeons

Case report

Ruptured papillary muscle after mitral valve replacement with preservation of chordae tendineae

Peter Lemke, MDa, Matthias Roth, MDa, Bernd Kraus, MDb, Stephen Hohe, MDa, Wolf P. Klövekorn, MDa, Erwin P. Bauer, MDa

a Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic Foundation, Bad Nauheim, Germany
b Department of Anesthesiology, Kerckhoff Clinic Foundation, Bad Nauheim, Germany

Accepted for publication September 18, 2000.

Address reprint requests to Dr Roth, Department of Thoracic- and Cardiovascular Surgery, Kerckhoff Foundation, Benekestr 2-8, 61231 Bad Nauheim, Germany
e-mail: matthias.roth{at}kerckhoff.med.uni-giessen.de

Many cardiac surgeons believe strongly that every effort should be made to preserve the continuity of the mitral anulus, chordae tendineae, and papillary muscles during mitral valve replacement in order to maximize ventricular function and maintain normal ventricular geometry. We treated a patient with spontaneous papillary muscle rupture after mitral valve replacement in whom efforts had been made to preserve continuity of the mitral mechanism.




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