Severe mitral regurgitation causing unilateral pulmonary edema: A case report. Issue 2 (August 2022)

• Record Type: Journal Article
• Authors: Bekiaridou, Alexandra; Kartas, Anastasios; Moysidis, Dimitrios V.; Papazoglou, Andreas S.; Patsiou, Vasiliki; Baroutidou, Amalia; Kamperidis, Vasileios; Giannakoulas, George
• Is Part Of: Journal of cardiology cases. Volume 26:Issue 2(2022)
• Page Start: 130
• Page End: 133
• Publication Date: 2022-08
• Subjects: MR Mitral Regurgitation -- LA Left Atrium -- AF Atrial Fibrillation -- LBBB Left Bundle Branch Block -- MV Mitral Valve -- TTE Transthoracic Echocardiogram -- TEE Transesophageal Echocardiogram -- LV Left Ventricle -- RA Right Atrium -- RV Right Ventricle -- MVr Mitral Valve repair -- RU-PV Right Upper Pulmonary Vein -- LU-PV Left Upper Pulmonary Vein -- RL-PV Right Lower Pulmonary Vein -- LL-PV Left Lower Pulmonary Vein -- AO Aorta; Mitral valve -- Regurgitation -- Pulmonary edema -- Echocardiography; Cardiology -- Periodicals; Cardiovascular Diseases -- Case Reports; Cardiovascular Diseases -- Periodicals; Cardiology -- Case Reports; Cardiology -- Periodicals; Cardiology; Electronic journals; Periodicals; 616.12
• DOI: 10.1016/j.jccase.2022.03.020
• Languages: English
• ISSNs: 1878-5409

Abstract

Abstract: This is a case of a 70-year-old male patient with a history of degenerative mitral valve disease who presented to the emergency department with progressively worsening dyspnea. Prominent findings were rapid atrial fibrillation and unilateral pulmonary edema. Transthoracic and transesophageal echocardiography revealed chordal rupture-related severe-eccentric mitral regurgitation. The patient underwent surgical mitral valve repair. Learning objectives: To acknowledge that the clinical presentation may not be as dramatic when acute mitral regurgitation (MR) is superimposed on chronic MR, due to the increased left atrium compliance To bear in mind that eccentric jets of severe MR can cause unilateral pulmonary infiltrates, mimicking a primary pulmonary process To remind that rapid atrial fibrillation might be the result rather than the cause of acute cardiac decompensation.