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Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction

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 shoc...

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Autores principales: Shin, Jeong Hun, Kim, Seok Hwan, Park, Jinkyu, Lim, Young-Hyo, Park, Hwan-Cheol, Choi, Sung Il, Shin, Jinho, Kim, Kyung-Soo, Kim, Soon-Gil, Hong, Mun K., Lee, Jae Ung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271297/
https://www.ncbi.nlm.nih.gov/pubmed/22323871
http://dx.doi.org/10.3346/jkms.2012.27.2.211
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author Shin, Jeong Hun
Kim, Seok Hwan
Park, Jinkyu
Lim, Young-Hyo
Park, Hwan-Cheol
Choi, Sung Il
Shin, Jinho
Kim, Kyung-Soo
Kim, Soon-Gil
Hong, Mun K.
Lee, Jae Ung
author_facet Shin, Jeong Hun
Kim, Seok Hwan
Park, Jinkyu
Lim, Young-Hyo
Park, Hwan-Cheol
Choi, Sung Il
Shin, Jinho
Kim, Kyung-Soo
Kim, Soon-Gil
Hong, Mun K.
Lee, Jae Ung
author_sort Shin, Jeong Hun
collection PubMed
description 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.
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spelling pubmed-32712972012-02-09 Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction Shin, Jeong Hun Kim, Seok Hwan Park, Jinkyu Lim, Young-Hyo Park, Hwan-Cheol Choi, Sung Il Shin, Jinho Kim, Kyung-Soo Kim, Soon-Gil Hong, Mun K. Lee, Jae Ung J Korean Med Sci Case Report 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. The Korean Academy of Medical Sciences 2012-02 2012-01-27 /pmc/articles/PMC3271297/ /pubmed/22323871 http://dx.doi.org/10.3346/jkms.2012.27.2.211 Text en © 2012 The Korean Academy of Medical Sciences. http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Shin, Jeong Hun
Kim, Seok Hwan
Park, Jinkyu
Lim, Young-Hyo
Park, Hwan-Cheol
Choi, Sung Il
Shin, Jinho
Kim, Kyung-Soo
Kim, Soon-Gil
Hong, Mun K.
Lee, Jae Ung
Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction
title Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction
title_full Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction
title_fullStr Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction
title_full_unstemmed Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction
title_short Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction
title_sort unilateral pulmonary edema: a rare initial presentation of cardiogenic shock due to acute myocardial infarction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271297/
https://www.ncbi.nlm.nih.gov/pubmed/22323871
http://dx.doi.org/10.3346/jkms.2012.27.2.211
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