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Cardiac Pneumonia: Acute Mitral Regurgitation Causing Lobar Infiltrate

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1 Cardiac Pneumonia: Acute Mitral Regurgitation Causing Lobar Infiltrate
Ninel Hovnanians, MD, Osama Alsara, MD, Ahmed N. Mahmoud, MD, Nayan Agarwal, MD, Sanaullah Mojaddedi, BS, R. David Anderson, MD, MS, Mohammad Khalid Mojadidi, MD  The American Journal of Medicine  Volume 130, Issue 4, Pages e147-e148 (April 2017) DOI: /j.amjmed Copyright © 2016 Elsevier Inc. Terms and Conditions

2 Figure (A) Computed tomography of the chest showing right-sided multi-lobar infiltrates with predominant right upper lobe involvement (arrow). (B) Electrocardiogram showing inferoposterior Q waves and subtle ST depression in V3-V4. (C) Transthoracic echocardiogram showing inferomedial papillary muscle rupture (left arrow) resulting in severe mitral regurgitation, flail anterior mitral leaflet with an eccentric regurgitant jet directed posteriorly (right arrow). (D) Coronary angiogram showing moderate diffuse disease of the right coronary artery (RCA) with a proximal posterior descending artery (PDA) occlusion (arrow). The American Journal of Medicine  , e147-e148DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions


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