Título Em Cirurgia Cardiovascular SBCCV Practice Questions - Título De Especialista Em Cirurgia Cardiovascular (SBCCV AMB) Exam

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In the left ventricle, the papillary muscles support the mitral valve leaflets via primary, secondary, and tertiary chordae tendineae. Why is the posteromedial papillary muscle significantly more vulnerable to ischemic rupture following myocardial infarction than the anterolateral papillary muscle?
Correct Answer:
The posteromedial papillary muscle relies on a single arterial blood supply (usually the posterior descending artery - PDA), whereas the anterolateral papillary muscle has dual blood supply (LAD and LCx).

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