A 55-year-old man on ICU has acute mitral regurgitation from papillary muscle rupture following an inferior STEMI. He is in cardiogenic shock with mas...

Question

A 55-year-old man on ICU has acute mitral regurgitation from papillary muscle rupture following an inferior STEMI. He is in cardiogenic shock with massive pulmonary oedema. IABP is in situ. What is the definitive management?

Accepted Answer

Emergency surgical mitral valve repair or replacement - papillary muscle rupture is a mechanical complication requiring urgent surgical correction; IABP and vasodilators provide temporary stabilisation as a bridge to surgery

Answer

Medical therapy alone

Answer

Percutaneous mitral clip

Answer

Heart transplantation

Answer

Conservative management with diuretics

uk-fficm MCQ (SBA): Papillary Muscle Rupture

A 55-year-old man on ICU has acute mitral regurgitation from papillary muscle rupture following an inferior STEMI. He is in cardiogenic shock with massive pulmonary oedema. IABP is in situ. What is the definitive management?