Papillary muscle rupture after chordal sparing mitral valve replacement.

Complete papillary muscle rupture is a catastrophic complication of acute myocardial infarction which usually leads to acute severe mitral regurgitation requiring urgent or emergent surgery. A case in which this complication occurred after chordal sparing mitral valve replacement is described. The severed papillary muscle was removed surgically. The incidence and natural history of papillary muscle rupture occurring after chordal sparing mitral valve replacement for ischemic mitral insufficiency is not known.