Venu Mehta* and Andrew Macduff
New Cross Hospital, Wolverhampton, England
Received date: October 20, 2016; Accepted date: November 11, 2016; Published date: November 15, 2016
Citation: Mehta V, Macduff A (2016) Unilateral Pulmonary Oedema. J Anesth Clin Res 7:I101. doi:10.4172/2155-6148.1000I101
Copyright: © 2016 Mehta V, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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A 75 year old woman presented with out of hospital cardiac arrest following sudden breathlessness. She was resuscitated and transferred to the Emergency department where she was intubated and 300 ml of blood stained fluid was aspirated from the endotracheal tube.
Chest radiograph showed right sided pulmonary oedema with sparing of the left lung. Transthoracic and subsequent transoesophageal echocardiography showed a flail anterior leaflet of the mitral valve with preserved left ventricular function.
She underwent emergency coronary angiography and then mitral valve replacement. Unfortunately despite multi-organ support she died on post-op day 2.
Unilateral pulmonary oedema is uncommon, seen in approximately 2% of cases. It is strongly associated with mitral valve rupture and affects the right lung. It is thought to occur as the regurgitant jet is directed towards right pulmonary veins resulting in hydrostatic pulmonary oedema.
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