58 years old male with long term cardiac trouble old MI,high amaylase,lipase suggesting drug induced pancreatitis with high blood sugar now normal lipase high amaylase,controlled blood sugar with insulin,stent done 3 years ago,mitral valve regurgitation,low ejection fraction had mitral valve clipping,CRD ,ejection fraction raised nearly double,cardiac muscle contraction improved,no more dyspnea still directly after operation had fever,attacks,suspected pulmonary embolism due to bilateral lower