Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction.
10.3346/jkms.2012.27.2.211
- Author:
Jeong Hun SHIN
1
;
Seok Hwan KIM
;
Jinkyu PARK
;
Young Hyo LIM
;
Hwan Cheol PARK
;
Sung Il CHOI
;
Jinho SHIN
;
Kyung Soo KIM
;
Soon Gil KIM
;
Mun K HONG
;
Jae Ung LEE
Author Information
1. Division of Cardiology, Hanyang University Guri Hospital, Guri, Korea. leeju@hanyang.ac.kr
- Publication Type:Case Reports
- Keywords:
Unilateral Pulmonary Edema;
Acute Myocardial Infarction;
Heart Failure;
Mitral Regurgitation
- MeSH:
Acute Disease;
Aged;
Coronary Angiography;
Diagnosis, Differential;
Heart Atria/ultrasonography;
Heart Failure/diagnosis/etiology;
Humans;
Male;
Mitral Valve Insufficiency/ultrasonography;
Myocardial Infarction/complications/*diagnosis/therapy;
Pulmonary Edema/*diagnosis/etiology/therapy;
Shock, Cardiogenic/*diagnosis/etiology/therapy;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2012;27(2):211-214
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cardiogenic unilateral pulmonary edema (UPE) is a rare clinical entity that is often misdiagnosed at first. Most cases of cardiogenic UPE occur in the right upper lobe and are caused by severe mitral regurgitation (MR). We present an unusual case of right-sided UPE in a patient with cardiogenic shock due to acute myocardial infarction (AMI) without severe MR. The patient was successfully treated by percutaneous coronary intervention and medical therapy for heart failure. Follow-up chest Radiography showed complete resolution of the UPE. This case reminds us that AMI can present as UPE even in patients without severe MR or any preexisting pulmonary disease affecting the vasculature or parenchyma of the lung.
