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

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 c...

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Autores principales: Hirata, Kazuhito, Ishimine, Toru, Nakayama, Izumi, Yagi, Nobuhito, Wake, Minoru, Takahashi, Takanori, Taniguchi, Naoki, Tengan, Toshiho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990645/
https://www.ncbi.nlm.nih.gov/pubmed/33028775
http://dx.doi.org/10.2169/internalmedicine.5750-20
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author Hirata, Kazuhito
Ishimine, Toru
Nakayama, Izumi
Yagi, Nobuhito
Wake, Minoru
Takahashi, Takanori
Taniguchi, Naoki
Tengan, Toshiho
author_facet Hirata, Kazuhito
Ishimine, Toru
Nakayama, Izumi
Yagi, Nobuhito
Wake, Minoru
Takahashi, Takanori
Taniguchi, Naoki
Tengan, Toshiho
author_sort Hirata, Kazuhito
collection PubMed
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.
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spelling pubmed-79906452021-03-29 Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection Hirata, Kazuhito Ishimine, Toru Nakayama, Izumi Yagi, Nobuhito Wake, Minoru Takahashi, Takanori Taniguchi, Naoki Tengan, Toshiho Intern Med Case Report 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. The Japanese Society of Internal Medicine 2020-10-07 2021-03-01 /pmc/articles/PMC7990645/ /pubmed/33028775 http://dx.doi.org/10.2169/internalmedicine.5750-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hirata, Kazuhito
Ishimine, Toru
Nakayama, Izumi
Yagi, Nobuhito
Wake, Minoru
Takahashi, Takanori
Taniguchi, Naoki
Tengan, Toshiho
Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection
title Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection
title_full Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection
title_fullStr Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection
title_full_unstemmed Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection
title_short Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection
title_sort unilateral left pulmonary edema caused by contained rupture of the ascending aortic dissection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990645/
https://www.ncbi.nlm.nih.gov/pubmed/33028775
http://dx.doi.org/10.2169/internalmedicine.5750-20
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