A Rare Ischemic Complication: Tricuspid Pillar Rupture after Anterior Myocardial Infarction
H. Rouam *
Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco and Cardiology Department, Military Hospital of Avicenne, Marrakesh, Morocco.
M. Boutgourine
Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco and Cardiology Department, Military Hospital of Avicenne, Marrakesh, Morocco.
H. Zinneddine
Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco and Cardiology Department, Military Hospital of Avicenne, Marrakesh, Morocco.
I. Hazzazi
Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco and Cardiology Department, Military Hospital of Avicenne, Marrakesh, Morocco.
A. Dahioui
Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco and Cardiovascular Surgery Department, Military Hospital of Avicenne – Marrakesh, Morocco.
A. Abdou
Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco and Cardiovascular Surgery Department, Military Hospital of Avicenne – Marrakesh, Morocco.
A. Bouzerda
Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco and Cardiology Department, Military Hospital of Avicenne, Marrakesh, Morocco.
*Author to whom correspondence should be addressed.
Abstract
The rupture of the papillary muscle (PRM) after a myocardial infarction (MI) became rare since the introduction of primary angioplasty. In most cases in literature, it’s reported in the mitral valve. Followed by a PMR of the tricuspid valve (TV), which is extremely rare. We described a case of a 78-year-old patient, who was admitted to the emergency room for a delayed anterior ST elevation myocardial infarction. It was later complicated by papillary muscle rupture after a percutaneous coronary intervention (PCI) of the right coronary artery involving a stent. The patient underwent surgical repair of the TV with fatal evolution.
Keywords: Acute myocardial infarction, ischemic complication, papillary muscle rupture, tricuspid valve