1.Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction.
Jeong Hun SHIN ; 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
Journal of Korean Medical Science 2012;27(2):211-214
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.
Acute Disease
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Aged
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Coronary Angiography
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Diagnosis, Differential
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Heart Atria/ultrasonography
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Heart Failure/diagnosis/etiology
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Humans
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Male
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Mitral Valve Insufficiency/ultrasonography
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Myocardial Infarction/complications/*diagnosis/therapy
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Pulmonary Edema/*diagnosis/etiology/therapy
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Shock, Cardiogenic/*diagnosis/etiology/therapy
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Tomography, X-Ray Computed
2.Echocardiography in Transcatheter Aortic Valve Implantation and Mitral Valve Clip.
The Korean Journal of Internal Medicine 2012;27(3):245-261
Transcatheter aortic valve implantation and transcatheter mitral valve repair (MitraClip) procedures have been performed worldwide. In this paper, we review the use of two-dimensional and three-dimensional transesophageal echo for guiding transcatheter aortic valve replacement and mitral valve repair.
Aged
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Aged, 80 and over
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Aortic Valve Stenosis/*therapy/*ultrasonography
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Balloon Valvuloplasty
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Bioprosthesis
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*Cardiac Catheterization/adverse effects/instrumentation
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*Echocardiography
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Echocardiography, Doppler, Color
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Echocardiography, Three-Dimensional
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Echocardiography, Transesophageal
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Heart Valve Prosthesis
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Heart Valve Prosthesis Implantation/adverse effects/instrumentation/*methods
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Humans
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Mitral Valve Insufficiency/*therapy/*ultrasonography
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Predictive Value of Tests
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Prosthesis Design
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Severity of Illness Index
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Surgical Instruments
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Ultrasonography, Interventional/*methods