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Kashiura M, Tateishi K, Yokoyama T, et al. Unilateral cardiogenic pulmonary edema associated with acute mitral regurgitation. Acute Med Surg. 2016;4(1):119-122doi: 10.1002/ams2.234.
Kashiura, M., Tateishi, K., Yokoyama, T., Jujo, M., Tanabe, T., Sugiyama, K., Akashi, A., & Hamabe, Y. (2017). Unilateral cardiogenic pulmonary edema associated with acute mitral regurgitation. Acute medicine & surgery, 4(1), 119-122. https://doi.org/10.1002/ams2.234
Kashiura, Masahiro, et al. "Unilateral cardiogenic pulmonary edema associated with acute mitral regurgitation." Acute medicine & surgery vol. 4,1 (2017): 119-122. doi: https://doi.org/10.1002/ams2.234
Kashiura M, Tateishi K, Yokoyama T, Jujo M, Tanabe T, Sugiyama K, Akashi A, Hamabe Y. Unilateral cardiogenic pulmonary edema associated with acute mitral regurgitation. Acute Med Surg. 2016 Aug 01;4(1):119-122. doi: 10.1002/ams2.234. eCollection 2017 Jan. PMID: 29123847; PMCID: PMC5667298.
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Acute Med Surg. 2016 Aug 01;4(1):119-122. doi: 10.1002/ams2.234. eCollection 2017 Jan.

Unilateral cardiogenic pulmonary edema associated with acute mitral regurgitation.

Acute medicine & surgery

Masahiro Kashiura, Kazuya Tateishi, Taro Yokoyama, Mioko Jujo, Takahiro Tanabe, Kazuhiro Sugiyama, Akiko Akashi, Yuichi Hamabe

Affiliations

  1. Tertiary Emergency Medical Center Tokyo Metropolitan Bokutoh Hospital Sumida-ku Tokyo Japan.
  2. Department of Cardiology Tokyo Metropolitan Bokutoh Hospital Sumida-ku Tokyo Japan.

PMID: 29123847 PMCID: PMC5667298 DOI: 10.1002/ams2.234

Abstract

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.

Keywords: Bacterial endocarditis; heart failure; mitral regurgitation; mitral valve prolapse; pulmonary edema

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