Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection

被引：5

作者：

Hirata, Kazuhito ^{[1
]}

Ishimine, Toru ^{[2
]}

Nakayama, Izumi ^{[3
]}

Yagi, Nobuhito ^{[1
]}

Wake, Minoru ^{[1
]}

Takahashi, Takanori ^{[1
]}

Taniguchi, Naoki ^{[2
]}

Tengan, Toshiho ^{[2
]}

机构：

[1] Okinawa Chubu Hosp, Div Cardiol, Uruma, Japan

[2] Okinawa Chubu Hosp, Cardiovasc Surg, Uruma, Japan

[3] Okinawa Chubu Hosp, Intens Care Unit, Uruma, Japan

来源：

INTERNAL MEDICINE | 2021年 / 60卷 / 05期

关键词：

unilateral pulmonary edema; acute aortic dissection; heart failure;

D O I：

10.2169/internalmedicine.5750-20

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Unilateral pulmonary edema (UPE) is a rare entity and is usually associated with severe mitral regurgitation and more frequently occurs in the right lung. We herein report a case of unilateral left pulmonary edema caused by external compression of the right pulmonary artery and left pulmonary vein caused by the presence of hematoma due to type A acute aortic dissection (AAD), resulting in asymmetrically increased inflow and decreased outflow in the left pulmonary circulation. Physicians caring for patients with UPE should be aware that AAD leading to the external compression of the heart may be a possible underlying mechanism.

引用

页码：751 / 753

页数：3

共 14 条

[1] Prevalence, Characteristics, and Outcomes of Patients Presenting With Cardiogenic Unilateral Pulmonary Edema [J].