Natassja Moriarty Author

Special Issue Article Open Access

Ruptured Papillary muscle mimicking culture negative endocarditic: An atypical presentation

Author(s):

Natassja Moriarty, Jonathan Moriarty, Adrian Brodison
 

This case report seeks to highlight an interesting case of a ruptured papillary muscle mimicking a mitral valve vegetation post myocardial infarction (MI).
We present a 59-year-old male with no comorbidities with a 1-week history of intermittent left-sided chest pain and exertional dyspnoea who was diagnosed and managed initially as a late presentation of Acute Coronary Syndrome (ACS). Significantly he had a new onset pansystolic murmur, ischaemic changes in the inferior leads on ECG, raised troponins and a predominantly right sided pulmonary oedema on chest X-ray. Echocardiogram demonstrated severe mitral valve regurgitation and mitral valve vegetation. Inpatient coronary angiogram demonstrated 100% stenosis to the right coronary artery. 
He received a 6 weeks course... view more»

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