Rapid Response

Stephen Maharaj (1) , Sophina Baksh (2) , Professor Giovanni Teodori (3) , Mrs Natasha Rahaman (4) , Risshi D. Rampersad (5)
(1) Cardiology Resident, Cardiology Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago. , Trinidad and Tobago
(2) Surgical Resident, Cardiology Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago. , Trinidad and Tobago
(3) Head of Cardiac Surgery, Surgical department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago. , Trinidad and Tobago
(4) Cardiac Surgeon, Surgical Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago. , Trinidad and Tobago
(5) Head of Department, Cardiology Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago. , Trinidad and Tobago
https://doi.org/10.52845/CMRO/2025/8-11-3

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Vol. 8 No. 11 (2025)
Keywords:
    papillary muscle rupture, mitral regurgitation, myocardial infarction, mitral valve replacement, coronary artery disease, coronary artery bypass grafting
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Abstract

A 51-year-old hypertensive male presented with worsening shortness of breath, orthopnea and paroxysmal nocturnal dyspnea. X-ray imaging revealed cardiomegaly, consolidation and bilateral pleural effusions, suggestive of pneumonia. He eventually became hemodynamically unstable. Echocardiography revealed severe mitral regurgitation secondary to complete papillary muscle rupture. Coronary angiography showed triple vessel coronary artery disease. The patient underwent urgent mitral valve replacement with a mechanical prosthesis and coronary artery bypass grafting (CABG). Post-operative recovery was uneventful and transthoracic echocardiography showed good mitral valve and systolic function.  

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References

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Authors

Stephen Maharaj
Cardiology Resident, Cardiology Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago.
stephenmaharaj21@yahoo.com (Primary Contact)
Sophina Baksh
Surgical Resident, Cardiology Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago.
https://orcid.org/0009-0005-6010-5810
Professor Giovanni Teodori
Head of Cardiac Surgery, Surgical department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago.
Mrs Natasha Rahaman
Cardiac Surgeon, Surgical Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago.
Risshi D. Rampersad
Head of Department, Cardiology Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago.
https://orcid.org/0000-0002-0873-9550
Author Biographies

Sophina Baksh, Surgical Resident, Cardiology Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago.

Surgical Resident, Cardiology Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago

Professor Giovanni Teodori, Head of Cardiac Surgery, Surgical department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago.

Head of Cardiac Surgery, Surgical department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago

Mrs Natasha Rahaman, Cardiac Surgeon, Surgical Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago.

Cardiac Surgeon, Surgical Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago.

Risshi D. Rampersad, Head of Department, Cardiology Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago.

Head of Department, Cardiology Department, Caribbean Heart Care Medcorp Ltd., St. Clair Medical Centre, Port of Spain, Trinidad and Tobago

Maharaj, S., Baksh, S., Teodori, G., Rahaman, N., & Rampersad, R. (2025). Rapid Response. Journal of Current Medical Research and Opinion, 8(11), 4506–4510. https://doi.org/10.52845/CMRO/2025/8-11-3
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