Cardiac Unilateral Pulmonary Edema: Is It Really a Rare Presentation?

Hassan, Walid; Elshaer, Fayez; Fawzy, Mohamed; Helaly, Sumaya Al; Hegazy, Hesham; Akhras, Nathem

doi:10.1111/j.1527-5299.2005.03861.x

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…Mitral disease, however, should remain in the differential diagnosis of such a radiographic appearance. In one case series, two out of five cases of unilateral chest x-ray signs of heart failure were due to recurrent rheumatic mitral valve stenosis following balloon valvuloplasty, similar to our case, but presenting more overtly with symptoms of heart failure [10]. The propensity of recurrent mitral valve stenosis to cause unilateral pulmonary edema has not been reported on in the literature, but according to our knowledge, this case constitutes the third reported incident.…”

Section: Discussionsupporting

confidence: 75%

“…We based our patient's treatment on case reports and small studies showing immediate resolution of hemoptysis with correction of the mitral valve stenosis [[9], [10], [11], [12]]. Given the need for rapid intervention and available resources at the time, valvuloplasty was the therapeutic option that provided the most immediate pragmatic treatment with the greatest chance of success.…”

Section: Discussionmentioning

confidence: 99%

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Life-threatening hemoptysis following mitral valvuloplasty for rheumatic mitral stenosis

Sutherland

Haji

Borgan

et al. 2019

Respiratory Medicine Case Reports

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Background Massive hemoptysis is a rare complication of rheumatic mitral valve stenosis. Its recurrence following successful initial treatment of the stenosis has not, to our knowledge, been described. Case report We describe a 58-year-old African American woman with a history of balloon valvuloplasty for the treatment of severe rheumatic mitral valve stenosis who presented to our institution with massive life-threatening hemoptysis due to recurrent mitral valve stenosis. Repeat balloon valvuloplasty was complicated postoperatively by severe mitral regurgitation and the patient expired from refractory cardiopulmonary collapse not amenable to further intervention. Conclusion Life-threatening hemoptysis is a medical emergency requiring rapid source identification and treatment of the underlying etiology. A high degree of suspicion should be maintained for recurrence of mitral valve stenosis in patients presenting with life-threatening hemoptysis and risk factors of rheumatic heart disease, regardless of previous surgical management or unilateral chest x-ray signs.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Life-threatening hemoptysis following mitral valvuloplasty for rheumatic mitral stenosis

Sutherland

Haji

Borgan

et al. 2019

Respiratory Medicine Case Reports

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“…A possible explanation is the inferior lymphatic drainage of the right lung by the small‐caliber right bronchomediastinal trunk in comparison to the large‐caliber thoracic duct in the left lung 3 . In patients with mitral regurgitation, the mechanism of right UPE is related to the retrograde flow in the right pulmonary veins during ventricular systole 4–6 …”

Section: Discussionmentioning

confidence: 99%

“…3 In patients with mitral regurgitation, the mechanism of right UPE is related to the retrograde flow in the right pulmonary veins during ventricular systole. [4][5][6] The left cardiogenic UPE in this case would be in relation to the left lateral decubitus position adopted by the patient while the procedure was performed in the context of cardiac decompensation.…”

Section: Discussionmentioning

confidence: 99%

Cardiogenic Unilateral Pulmonary Edema: An Unreported Complication of a Digestive Endoscopic Procedure

Baldessari¹,

Mendez‐Villarroel²,

Mauriño

et al. 2009

Congestive Heart Failure

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Unilateral pulmonary edema is an uncommon clinical situation that may be difficult to distinguish from other conditions that cause lung infiltrates. Most cases occur in the right lung, and there are no reports about cardiogenic unilateral pulmonary edema as a complication of an endoscopic procedure of gastrointestinal tract. The authors describe a case of a 79-year-old woman with acute cardiac heart failure that developed soon after a diagnostic upper and lower digestive endoscopy. Continuous positive airway pressure, intravenous nitroglycerin, and furosemide treatment resulted in rapid improvement of symptoms and the progressive resolution of left-sided infiltrates on chest radiography. This case is of particular importance because of the rarity of cardiogenic unilateral edema in the left lung. This clinical finding was associated with the prolonged rest on the left side during the gastrointestinal endoscopic procedure.

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