Chest
Selected ReportsRight Upper Lobe Pulmonary Edema Caused by Acute Mitral Regurgitation: Diagnosis by Transesophageal Echocardiography
Section snippets
CASE REPORT
A 73-year-old white man presented with the complaints of the acute onset of chest pain, “achey” muscles and fevers to 39.3°C. He sought medical attention and a new grade 4/6 holosystolic murmur was noted; he was admitted to the hospital to evaluate the possibility of subacute bacterial endocarditis. Medical history was significant only for mitral valve prolapse documented by echocardiography in 1986. Physical examination revealed a well-developed, well-nourished white man in no distress. Vital
DISCUSSION
Though uncommon, unilateral pulmonary edema (UPE) has been reported in association with several different clinical situations (Table 1). Focal imbalance of Starling forces is the common thread that unites this wide variety of etiologies. “Reexpansion” pulmonary edema, which occasionally occurs following thoracentesis or treatment of a pneumothorax, accounts for the majority of reported cases.3, 4, 5, 6, 7, 8, 9 Several cases have also been reported in the recent literature in association with
References (0)
Cited by (53)
Acute presentations of valvular heart disease
2018, Cardiac Intensive CareUnilateral Pulmonary Edema Due to Leaflet Fracture of a Duromedics Edwards Bileaflet Mitral Valve
2017, Journal of Cardiothoracic and Vascular AnesthesiaUnilateral pulmonary edema in acute coronary syndrome: A sinister sign
2016, European Journal of Internal MedicineCitation Excerpt :Unilateral pulmonary edema is an unusual clinical entity with a wide differential diagnoses ranging from local pulmonary processes to hemodynamic abnormalities arising from acute severe mitral regurgitation as in our patient. Acute eccentric jets of mitral regurgitation can arise from papillary muscle rupture and may lead to development of unilateral pulmonary edema by being differentially directed towards the right or left pulmonary veins [1]. The authors state that they have no conflicts of interest.
Unilateral pulmonary oedema: A case report of a commonly missed and highly consequential condition
2016, International Journal of CardiologyReexpansion Pulmonary Edema Following Local Anesthetic Thoracoscopy: Correlation and Evolution of Radiographic and Ultrasonographic Findings
2014, ChestCitation Excerpt :Despite a known cardiomyopathy, the presence of unilateral B lines would not be consistent with congestive cardiac failure (where ultrasonographic changes should be present bilaterally) and, as in this case, this should prompt the physician to consider alternative diagnoses. Unilateral B lines are associated most commonly with infection, although unilateral pulmonary edema is a rarely recognized entity, for example, in conjunction with acute severe mitral regurgitation7 and now REPE. REPE represents a rare but dangerous complication of draining pleural effusions or pneumothoraces; it is reported to occur in < 1% of cases but has a mortality rate as high as 20%.8,9
Unilateral lung opacity
2012, Revue de Medecine Interne
The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army, Uniformed Services University of the Health Sciences, or the Department of Defense.