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Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol
Published on: July 28, 2018
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Unilateral cardiogenic pulmonary edema
Satoshi Inotani1, Sho-Ichi Kubokawa1, Yoko Nakaoka1
1The Department of Medicine & Cardiology, Chikamori Hospital, Kochi, Japan.
Journal of Cardiology Cases
|October 4, 2018
Summary
Severe mitral regurgitation can cause unilateral cardiogenic pulmonary edema, often misdiagnosed as pneumonia. Early identification and treatment of mitral valve issues are crucial for patient survival.
Area of Science:
- Cardiology
- Pulmonology
- Medical Diagnostics
Background:
- Acute respiratory distress can be challenging to diagnose.
- Unilateral pulmonary edema is a rare presentation.
Observation:
- A 45-year-old man presented with severe hypoxemia and right lung consolidation, initially diagnosed as pneumonia.
- Echocardiography revealed severe mitral regurgitation due to posterior mitral valve leaflet (P2) chordal rupture.
Findings:
- The patient's condition rapidly deteriorated, necessitating transfer and intensive care.
- Successful treatment involved diuretics, extracorporeal membrane oxygenation, and mitral valve repair with a Cosgrove ring.
Implications:
- Acute mitral regurgitation is a critical cause of unilateral cardiogenic pulmonary edema.
- Prompt differentiation from pneumonia is vital for patient outcomes.
- Recognizing this rare condition improves diagnostic accuracy and saves lives.
Keywords:
Acute mitral regurgitationDifferentiation from pneumoniaUnilateral cardiogenic pulmonary edemaMore Related Videos
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