Papillary muscle avulsion following balloon mitral valvotomy evaluated with three-dimensional echocardiography
- PMID: 35597976
- PMCID: PMC9123678
- DOI: 10.1186/s12893-022-01636-6
Papillary muscle avulsion following balloon mitral valvotomy evaluated with three-dimensional echocardiography
Abstract
Background: Percutaneous balloon mitral valvotomy is a common therapeutic approach for rheumatic mitral stenosis. Avulsion of the papillary muscle is a rare but serious complication of balloon mitral valvotomy. The papillary muscles are derived from the trabecular layer of the developing ventricular walls. When subjected to a force, avulsion of papillary muscle from the trabecular layer may occur.
Case presentation: In this case report, we describe a patient with rheumatic mitral stenosis, who experienced avulsion of the mitral papillary muscle from the left ventricular wall after undergoing balloon mitral valvotomy. Papillary muscle alvusion resulted in severe mitral regurgitation, which was finally treated by mitral valve replacement.
Conclusion: We successfully diagnosed avulsion of the papillary muscle following balloon mitral valvotomy. Three-dimensional transthoracic echocardiography provides more information on mitral apparatus structure than two-dimensional transthoracic echocardiography.
Keywords: Alvusion; Balloon mitral valvotomy; Papillary muscle.
© 2022. The Author(s).
Conflict of interest statement
The authors declare that they have no competing interest.
Figures

Similar articles
-
Posteromedial papillary muscle rupture following percutaneous mitral balloon valvotomy.Echocardiography. 2014 May;31(5):E156-7. doi: 10.1111/echo.12564. Epub 2014 Mar 20. Echocardiography. 2014. PMID: 24646169 No abstract available.
-
Echocardiographic assessment of commissural calcium: a simple predictor of outcome after percutaneous mitral balloon valvotomy.J Am Coll Cardiol. 1997 Jan;29(1):175-80. doi: 10.1016/s0735-1097(96)00422-6. J Am Coll Cardiol. 1997. PMID: 8996311
-
The comparative value of transesophageal and transthoracic echocardiography before and after percutaneous mitral balloon valvotomy: a prospective study.Am Heart J. 1993 Apr;125(4):1094-105. doi: 10.1016/0002-8703(93)90119-t. Am Heart J. 1993. PMID: 8465733
-
[Percutaneous mitral valve balloon valvulotomy: technique, indications and results].Praxis (Bern 1994). 1995 Jan 17;84(3):63-9. Praxis (Bern 1994). 1995. PMID: 7846430 Review. German.
-
Management of mitral stenosis using 2D and 3D echo-Doppler imaging.JACC Cardiovasc Imaging. 2013 Nov;6(11):1191-205. doi: 10.1016/j.jcmg.2013.07.008. JACC Cardiovasc Imaging. 2013. PMID: 24229772 Review.
Cited by
-
Papillary muscle rupture without severe mitral regurgitation following percutaneous balloon mitral commissurotomy: a case report.Eur Heart J Case Rep. 2024 Feb 26;8(3):ytae114. doi: 10.1093/ehjcr/ytae114. eCollection 2024 Mar. Eur Heart J Case Rep. 2024. PMID: 38487589 Free PMC article.
References
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources