Unilateral cardiogenic pulmonary edema associated with acute mitral regurgitation

CaseTwo cases of cardiogenic unilateral pulmonary edema are reported. Both patients presented to the emergency department with dyspnea, and chest radiography revealed unilateral infiltration, which mimics pulmonary disease. However, the patients were diagnosed with cardiogenic pulmonary edema, becau...

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Bibliographic Details
Published in:Acute medicine & surgery 2017, Vol.4 (1), p.119-122
Main Authors: Kashiura, Masahiro, Tateishi, Kazuya, Yokoyama, Taro, Jujo, Mioko, Tanabe, Takahiro, Sugiyama, Kazuhiro, Akashi, Akiko, Hamabe, Yuichi
Format: Report
Language:English
Online Access:Get full text
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Summary:CaseTwo cases of cardiogenic unilateral pulmonary edema are reported. Both patients presented to the emergency department with dyspnea, and chest radiography revealed unilateral infiltration, which mimics pulmonary disease. However, the patients were diagnosed with cardiogenic pulmonary edema, because echocardiography showed severe mitral regurgitation with an eccentric jet. OutcomeThe patients underwent mitral valve replacement and were discharged without complications. ConclusionUnilateral cardiogenic pulmonary edema is rare, and early diagnosis and treatment are difficult. Delayed treatment leads to high mortality. The major cause of unilateral pulmonary edema is acute mitral regurgitation, and the direction of the jet is suggested as a mechanism of laterality.
ISSN:2052-8817
2052-8817
DOI:10.1002/ams2.234