ACUTE MITRAL REGURGITATION: WHEN THERE IS MORE TO ISCHEMIA THAN MEETS THE EYE

Mechanical complications of acute myocardial infarction (MI) are infrequent. High clinical suspicion is paramount for appropriate management. A 59 year old man with myxomatous mitral valve (MV) disease presented with chest pain and dyspnea. Chest X ray showed unilateral pulmonary edema (fig A). EKG