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Mitral Valve Replacement in a Patient with Mitral Regurgitation Secondary to Rupture of a Papillary Muscle

Ann Intern Med. 1967;67(2):387-392. doi:10.7326/0003-4819-67-2-387
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Rupture of a papillary muscle of the heart is considered a rare complication of myocardial infarction (1-5). Cederquist and Söderström (1) recently reported an incidence of 0.9% in 578 cases studied postmortem in patients dying of acute myocardial infarction. With the recent improvements in the technique of open heart surgery and subsequent reduction in mortality and morbidity, every effort should be made to establish the diagnosis since this lesion is potentially correctable even though the immediate mortality is high (5). Surgical correction of mitral regurgitation secondary to a ruptured papillary muscle has only rarely been attempted (2, 3), and there


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