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Unilateral cardiogenic pulmonary edema caused by acute mitral valve prolapse: A case report

Medicine (Baltimore), 2021-02, Vol.100 (7), p.e24622-e24622 [Peer Reviewed Journal]

Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. ;Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. 2021 ;ISSN: 0025-7974 ;EISSN: 1536-5964 ;DOI: 10.1097/MD.0000000000024622 ;PMID: 33607797

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  • Title:
    Unilateral cardiogenic pulmonary edema caused by acute mitral valve prolapse: A case report
  • Author: Jiang, Xuandong ; Cheng, Xuping ; Zhang, Weimin
  • Subjects: Adult ; Chordae Tendineae - surgery ; Clinical Case Report ; Diagnosis, Differential ; Heart Valve Prosthesis Implantation ; Humans ; Male ; Mitral Valve Prolapse - complications ; Mitral Valve Prolapse - surgery ; Pulmonary Edema - diagnostic imaging ; Pulmonary Edema - etiology ; Tomography, X-Ray Computed
  • Is Part Of: Medicine (Baltimore), 2021-02, Vol.100 (7), p.e24622-e24622
  • Description: Unilateral cardiogenic pulmonary edema is a rare disease. A common cause is mitral valve and asymmetrical blood regurgitation that is primarily directed toward the upper right pulmonary vein, causing mean capillary pressure to increase on the right side and leading to right pulmonary edema. A 41-year-old man was diagnosed with pneumonia after presenting with a 2-day history of cough and shortness of breath. Computed tomography indicated right pulmonary edema. He was managed with noninvasive ventilation; however, his condition continued to deteriorate, and he was transferred to the intensive care unit after tracheal intubation. Acute posterior mitral valve prolapses; unilateral cardiogenic pulmonary edema. Emergency mitral valve replacement was performed. During the operation, 2 ruptures of the chordae tendineae in the P2 scallop of the posterior mitral valve were found, and a No. 29 St. Jude mechanical mitral valve was implanted. Cardiotonic and diuretic drugs were administered postoperatively. Tracheal intubation was removed on day 7; the patient was transferred to the general ward on day 11 and discharged on day 23 postoperatively. Unilateral cardiogenic pulmonary edema is easily misdiagnosed. Computed tomographic (CT) imaging presentation, brain natriuretic peptide, and cardiac color Doppler ultrasound can assist in determining a differential diagnosis. Early surgical treatment is recommended for patients with acute mitral valve prolapse.
  • Publisher: United States: Lippincott Williams & Wilkins
  • Language: English
  • Identifier: ISSN: 0025-7974
    EISSN: 1536-5964
    DOI: 10.1097/MD.0000000000024622
    PMID: 33607797
  • Source: IngentaConnect Free/Open Access Journals
    Open Access: DOAJ Directory of Open Access Journals
    Open Access: PubMed Central
    Journals@Ovid Open Access Journal Collection Rolling
    Wolters Kluwer Open Health
    MEDLINE
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