A 62-year-old man presented with the chief complaints of fat…
A 62-year-old man presented with the chief complaints of fatigue and difficulty breathing. During the history the patient reported that he had suffered some chest pain, but attributed it to indigestion. Auscultation detected fluid in the lungs and a harsh murmur was present throughout systole. An electrocardiogram (EKG) showed signs of an antero-inferior myocardial infarction and a two-dimensional echocardiogram revealed a ruptured papillary muscle in the left ventricle. The patient was diagnosed with acute mitral regurgitation secondary to a myocardial infarction. The opening of the mitral valve is anchored in the