58 year old male presents with acute MI Admission CXR (a,b) are normal. 8 days later he acutely becomes short of breath. CR shows acute pulmonary edema (c) and angiogram shows severe mitral regurgitation and a flail posterolateral papillary muscle best appreciated in the systolic image (d) Patient required both an MVR and tricuspid Carpentier ring
Ashley Davidoff MD TheCommonVein.net 01831cL.1k