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

作者：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^*

来源：Journal of Korean Medical Science, 2012, 27(2): 211-214.

DOI：10.3346/jkms.2012.27.2.211

• Unilateral Pulmonary Edema
• Acute Myocardial Infarction
• Heart Failure
• Mitral Regurgitation

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.

• 出版日期2012-2