Seyed Hadi Hakim, Azin Alizadeh Asl.
Acute pulmonary edema due to rupture of mitral valve´s posteromedial papillary muscle in a young girl.
Rawal Med J Jan ;33(1):112-4.

We report a 13-year-old girl with acute pulmonary edema due to severe acute Mitral regurgitation because of rupture of Mitral valve´s posteromedial papillary muscle. She had normal mitral valve with necrotic posteromedial papillary muscle, classic aneurysms in left coronary artery, neutrophilic infiltration in the wall of medium-sized vessel of kidney and positive perinuclear antineutrophil cytoplasmic antibodies (P-ANCA) a diagnosis of polyarteritis nodosa. She treated successfully with mitral valve replacement. (Rawal Med J 2008;33:112-114).

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