Acute pulmonary edema secondary to pregnancy in a patient with the mitochondrial disease MELAS.

Rev Esp Cardiol. 2010;63(5):612-20 615 left ventricle was seen with a severely depressed systolic function (EF, 30%). Treatment with furosemide, nitroglycerine and dopamine at diuretic doses was initiated. Four days after admission to the intensive care unit (ICU), fetal death was determined and expulsion took place, subsequently the placenta was extracted and curettage performed. On the tenth day the patient was extubated. The follow-up cardiac mycotic aneurysm of a coronary artery with a perforated mitral valvular aneurysm. J Am Soc Echocardiogr. 2009;22:542. 4. Reece IJ, Al Tareif H, Tolia J, Saeed FA. Mycotic aneurysm of the left anterior descending coronary artery after aortic endocarditis. A case report and brief review of the literature. Tex Heart Inst J. 1994;21:231-5.