RT Journal Article
SR Electronic
T1 A case of unilateral pulmonary oedema associated with severe acute mitral regurgitation
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 160
OP 162
DO 10.7861/clinmed.2021-0770
VO 22
IS 2
A1 Yaopu Shi
A1 Jihong Zhang
A1 Shengda Liu
A1 Wei Miao
A1 Qinghai Zhang
YR 2022
UL http://www.rcpjournals.org/content/22/2/160.abstract
AB A 44-year-old woman presented to the emergency department with sudden chest tightness and breathlessness, and a chest X-ray revealed unilateral pulmonary oedema (UPO). Colour Doppler echocardiography showed that the leaflet prolapsed with severe regurgitation, and the regurgitant jet tended to blow rightward within the left atrium. With the assistance of mechanical ventilation and venoarterial extracorporeal membrane oxygenation, the patient underwent mitral valve replacement. UPO is easily misdiagnosed, which leads to delays in treatment. Therefore, accurate diagnosis and immediate treatment are crucial.