Rupture of papillary muscle after myocardial infarction (MI) have become rare since the introduction of primary angioplasty. In most cases in literature, it’s reported in the mitral valve. Then, PMR of the tricuspid valve (TV) is extremely rare. We described a case of 78-year- old patient with papillary muscle rupture after percutaneous coronary intervention to the right coronary artery involving a stent. We present a case of a 64-year-old patient admitted to the emergency room for jaundice with delayed ST- segment elevation myocardial infarction (STEMI). Physical examination revealed signs of right heart failure, which led us to associate jaundice with signs of acute liver failure secondary to right heart failure. Echocardiography confirmed the diagnosis of a ventricular septal rupture (VSR) with left-right shunt and a significant dilation of the right ventricle. The patient underwent surgical closure of the VSR with fatal evolution.

Hafssa ROUAM is a cardiologist at Mohammed VI University Hospital Center of Marrakech, specializing in heart failure, therapeutic education, cardiac rehabilitation, and advanced echocardiographic and vascular imaging. Special interests include also the diagnosis, management, and long-term follow-up of vascular disease. Focused on developing advanced clinical and echocardiographic skills to contribute to the growth of the medical vascular field in Morocco. She has always been interested in clinical experience, continuing medical education, participating in international scientific research projects, and specialized training programs.