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Case Reports
. 2022 Jul 3:15:84-86.
doi: 10.1016/j.xjtc.2022.06.012. eCollection 2022 Oct.

Ischemic dual papillary muscle rupture in a postpartum patient with vascular Ehlers-Danlos syndrome

Affiliations
Case Reports

Ischemic dual papillary muscle rupture in a postpartum patient with vascular Ehlers-Danlos syndrome

J Mark Erfe et al. JTCVS Tech. .
No abstract available

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Figures

None
A, ST elevations. B and C, SCAD on LHC. D through H, Papillary muscle rupture and repair.
Figure 1
Figure 1
A, Diffuse ST depressions in electrocardiogram. B and C, spontaneous coronary artery dissection of left anterior descending artery and obtuse marginal artery on coronary angiogram. D, Intraoperative transesophageal echocardiogram showing bileaflet mitral flail with ruptured papillary muscles. E and F, Ruptured papillary muscles to both leaflets on direct inspection. G, Prosthetic mitral valve thrombosis. H, Predischarge transthoracic echocardiogram showing no mitral regurgitation and mild mitral stenosis.

References

    1. Pepin M., Schwarze U., Superti-Furga A., Byers P.H. Clinical and genetic features of Ehlers-Danlos syndrome type IV, the vascular type. N Engl J Med. 2000;342:673–680. Erratum in: N Engl J Med. 2001;344:392. - PubMed
    1. Pepin MG, Byers PH. Ehlers-Danlos syndrome type IV. In: Pagon RA, Bird TD, Dolan CR, et al. eds. GeneReviewsTM [Internet]. University of Washington; 2011.
    1. Seve P., Dubreull O., Farhat F., Plauchu H., Toubul P., Broussolle C. Acute mitral regurgitation caused by papillary muscle rupture in the immediate postpartum period revealing Ehlers-Danlos syndrome type IV. J Thorac Cardiovasc Surg. 2005;129:680–681. - PubMed
    1. Bishay V.L., Adenikinju O., Todd R. FlowTriever Retrieval System for the treatment of pulmonary embolism: overview of its safety and efficacy. Expert Rev Med Devices. 2021;18:1039–1048. - PubMed

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