Abstract

RIOS, Josías et al. Rupture of the anterolateral papillary muscle due to focal infective endocarditis: An unusual presentation of native valve endocarditis. Rev Med Hered [online]. 2015, vol.26, n.2, pp.94-97. ISSN 1018-130X.

We report the case of a 55-year old male patient diagnosed of severe mitral valve insufficiency due to rupture of the papilar muscle. Surgical findings included multiple vegetations on the head of the antero-lateral papilar muscle with complete rupture of it and abnormal valve veils. Histoptahology revealed polymorphonuclear infiltrate on the endocardic and myocardic tissues, and fibrinous vegetations on the surface of the papilar muscle. Klebsiella pneumoniae was isolated from the papilar muscle. The patient received 6-weeks of treatment and was discharged after 45 days of being admitted with functional class I.

Keywords : Bacterial endocarditis; mitral vale; ruptura; papillary muscles.

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