Acute medicine & surgery · 2016
Unilateral cardiogenic pulmonary edema associated with acute mitral regurgitation.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kashiura Masahiro, Tateishi Kazuya, Yokoyama Taro, Jujo Mioko, Tanabe Takahiro, Sugiyama Kazuhiro, Akashi Akiko, Hamabe Yuichi
Аннотация
CASE: Two 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.
OUTCOME: The patients underwent mitral valve replacement and were discharged without complications.
CONCLUSION: Unilateral 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.
OUTCOME: The patients underwent mitral valve replacement and were discharged without complications.
CONCLUSION: Unilateral 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.