Combined papillary muscle and left ventricular wall dysfunction as a cause of mitral regurgitation. An experimental study

Papillary muscle infarction was produced in 16 mongrel dogs by placing sutures around the base of one of the papillary muscles. In addition, patchy infarction of the adjacent left ventricular wall was produced by placing an Ameroid constrictor around the appropriate coronary artery. Mitral insuffici...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 1971-08, Vol.44 (2), p.174-180
Hauptverfasser: Mittal, A K, Langston, Jr, M, Cohn, K E, Selzer, A, Kerth, W J
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container_end_page 180
container_issue 2
container_start_page 174
container_title Circulation (New York, N.Y.)
container_volume 44
creator Mittal, A K
Langston, Jr, M
Cohn, K E
Selzer, A
Kerth, W J
description Papillary muscle infarction was produced in 16 mongrel dogs by placing sutures around the base of one of the papillary muscles. In addition, patchy infarction of the adjacent left ventricular wall was produced by placing an Ameroid constrictor around the appropriate coronary artery. Mitral insufficiency developed in 14 of these animals; it was severe in four and mild to moderate in ten. Mitral insufficiency was not produced by isolated infarction of a papillary muscle or by isolated infarction of the left ventricular wall. It is concluded that papillary muscle infarction alone does not lead to mitral regurgitation, but that papillary; muscle dysfunction acts in concert with left ventricular wall dyskinesia or dilatation to produce mitral valve incompetency.
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Animals
Blood Pressure
Cardiac Volume
Disease Models, Animal
Dogs
Heart Ventricles - physiopathology
Ligation
Mitral Valve Insufficiency - etiology
Mitral Valve Insufficiency - pathology
Mitral Valve Insufficiency - physiopathology
Muscle Contraction
Myocardial Infarction - complications
Myocardium - pathology
Papillary Muscles - physiopathology
Sutures
title Combined papillary muscle and left ventricular wall dysfunction as a cause of mitral regurgitation. An experimental study
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