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Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection

Internal Medicine, 2021/03/01, Vol.60(5), pp.751-753 [Peer Reviewed Journal]

2021 by The Japanese Society of Internal Medicine ;Copyright Japan Science and Technology Agency 2021 ;Copyright © 2021 by The Japanese Society of Internal Medicine ;ISSN: 0918-2918 ;EISSN: 1349-7235 ;DOI: 10.2169/internalmedicine.5750-20 ;PMID: 33028775

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Title:
Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection
Author: Hirata, Kazuhito ; Ishimine, Toru ; Nakayama, Izumi ; Yagi, Nobuhito ; Wake, Minoru ; Takahashi, Takanori ; Taniguchi, Naoki ; Tengan, Toshiho
Subjects: acute aortic dissection ; Aorta ; Aortic dissection ; Aortic Dissection - complications ; Aortic Dissection - diagnostic imaging ; Aortic Rupture - complications ; Aortic Rupture - diagnostic imaging ; Case Report ; Case reports ; Compression ; Dissection ; Edema ; heart failure ; Hematoma ; Humans ; Lung ; Pulmonary arteries ; Pulmonary artery ; Pulmonary Artery - diagnostic imaging ; Pulmonary Edema - diagnostic imaging ; Pulmonary Edema - etiology ; Regurgitation ; unilateral pulmonary edema
Is Part Of: Internal Medicine, 2021/03/01, Vol.60(5), pp.751-753
Description: Unilateral pulmonary edema (UPE) is a rare entity and is usually associated with severe mitral regurgitation and more frequently occurs in the right lung. We herein report a case of unilateral left pulmonary edema caused by external compression of the right pulmonary artery and left pulmonary vein caused by the presence of hematoma due to type A acute aortic dissection (AAD), resulting in asymmetrically increased inflow and decreased outflow in the left pulmonary circulation. Physicians caring for patients with UPE should be aware that AAD leading to the external compression of the heart may be a possible underlying mechanism.
Publisher: Japan: The Japanese Society of Internal Medicine
Language: English
Identifier: ISSN: 0918-2918
EISSN: 1349-7235
DOI: 10.2169/internalmedicine.5750-20
PMID: 33028775
Source: Open Access: PubMed Central
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Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection

2021 by The Japanese Society of Internal Medicine ;Copyright Japan Science and Technology Agency 2021 ;Copyright © 2021 by The Japanese Society of Internal Medicine ;ISSN: 0918-2918 ;EISSN: 1349-7235 ;DOI: 10.2169/internalmedicine.5750-20 ;PMID: 33028775

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