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Author2 Posts
  #1

Diff between papillary muscle rupture vs septal perforation ?

  #2

Papillary muscle rup Septal perforation

Post MI day 3-5 Post MI day 5-7
Hrash systolic in Mitral area Harsh syatolic mur in parasternal
JVP normal JVP raised
No RVF RVF +
No hepatic congestion Hepatic congestion
Pul Venous HTN Pulm Arter HTN
Lesion-Left circumflex/PDA Lesion- LAD with septal perforaters
CXR-PVH ; pulmoary edema Pulm plethora-congestion
Low output low output
CVP normal CVP raised
Lateral XRAY-RV normal RV distended
Needs MV repair /replacement Patch closure by pericardium /bov


dmnz :wink:







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