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Mitral regurgitation secondary to ruptured papillary muscle
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A 68 year old man presented with an acute non-Q wave anterolateral myocardial infarction. He initially made an uneventful recovery. On day 6 postinfarction he developed sudden onset pulmonary oedema with associated hypotension. He required immediate intubation and despite high level inotropic support he remained hypotensive. A systolic murmur …