An Extraordinary Cause of Asymmetric Right Upper Lung Edema: Mitral Regurgitation

Year 2018, Volume: 71 Issue: 1, 73 - 75, 16.10.2018

Veysel Özgür Barış

Abstract

In asymmetric pulmonary edema and consolidation patterns, pneumonia is always the primary diagnosis; however, mitral regurgitation should be considered in asymmetric pulmonary edema, where right upper pulmonary involvement predominates. Asymmetric right upper pulmonary edema may be caused from the jet flow directed towards the upper right pulmonary vein and increased hydrostatic pressure. So in these cases; investigation of mitral insufficiency by bedside transthoracic echocardiography is recommended.

Keywords

Akciğer , Asymmetric pulmonary edema , Mitral Regurgitation

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

Asimetrik Sağ Üst Pulmoner Ödemin Olağandıșı Nedeni: Mitral Yetersizlik

Abstract

Konsolidasyon ve asimetrik pulmoner ödemin en sık nedeni pnömoni olmasına rağmen sağ üst pulmoner tutulumun ön planda olduğu asimetrik pulmoner ödem tablolarında mitral yetersizlik göz önünde bulundurulmalıdır. Sağ üst pulmoner vene doğru yönelen jet akıșı ve artmıș hidrostatik basınç asimetrik pulmoner ödeme yol açabilir. Bu durumlarda yatakbașı transtorasik ekokardiyografi mitral yetersizliğinin gösterilmesinde önerilmektedir

Keywords

Asimetrik pulmoner ödem , Mitral yetersizlik

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

References

• 1. Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail 2016;18:891-975.
• 2. Diana A, Guglielmini C, Pivetta M, et al. Radiographic features of cardiogenic pulmonary edema in dogs with mitral regurgitation: 61 cases (1998-2007). J Am Vet Med Assoc 2009;235:1058-1063.
• 3. Raman S, Pipavath S. Images in clinical medicine. Asymmetric edema of the upper lung due to mitral valvular dysfunction. N Engl J Med 2009;361:e6.
• 4. Schnyder PA, Sarraj AM, Duvoisin BE, et al. Pulmonary edema associated with mitral regurgitation: prevalence of predominant involvement of the right upper lobe. AJR Am J Roentgenol 1993;161:33-36.
• 5. Roach JM, Stajduhar KC, Torrington KG. Right upper lobe pulmonary edema caused by acute mitral regurgitation. Diagnosis by transesophageal echocardiography. Chest 1993;103:1286-1288.
• 6. Miyatake K, Nimura Y, Sakakibara H, et al. Localisation and direction of mitral regurgitant flow in mitral orifice studied with combined use of ultrasonic pulsed Doppler technique and two dimensional echocardiography. Br Heart J 1982;48:449-458.
• 7. Young AL, Langston CS, Schiffman RL, et al. Mitral valve regurgitation causing right upper lobe pulmonary edema. Tex Heart Inst J 2001;28:53-56