A 48-year old man with severe rheumatoid arthritis is described, who died of acute mitral insufficiency and cardiac failure. At the postmortem the posterior papillary muscle was found to have been ruptured at the site of a rheumatoid granuloma. Other granulomas and scar tissue were found throughout the myocardium and endocardium, as well as extensive scelerosis of the right coronary artery. There was also non-specific myocarditis and fibrinous pericarditis. The literature is reviewed and diagnostic criteria are discussed.
|Number of pages||3|
|Journal||Netherlands journal of medicine|
|Publication status||Published - 1 Dec 1979|