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Rupture of papillary muscles due to infective endocarditis is a very rare event. We report a case of anterolateral papillary muscle rupture caused by Staphylococcus aureus endocarditis, due to direct bacterial invasion of the papillary muscle, resulting in severe mitral regurgitation.
Levosimendan, a calcium sensitiser, has recently emerged as a valuable agent in the peri-operative management of cardiac surgery patients. Levosimendan is a calcium-sensitising ionodilator. By binding to cardiac troponin C and reducing its calcium-binding co-efficient, it enhances myofilament responsiveness to calcium and thus enhances myocardial contractility without increasing oxygen demand. Current...
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