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KMID : 0191120120270020211
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Journal of Korean Medical Science
2012 Volume.27 No. 2 p.211 ~ p.214
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Unilateral Pulmonary Edema: A Rare Initial Presentation of Cardiogenic Shock due to Acute Myocardial Infarction
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Shin Jeong-Hun
Kim Seok-Hwan
Park Jin-Kyu
Lim Young-Hyo
Park Hwan-Cheol
Choi Sung-Il
Shin Jin-Ho
Kim Kyung-Soo
Kim Soon-Gil
Hong Mun-K.
Lee Jae-Ung
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Abstract
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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.
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KEYWORD
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Unilateral Pulmonary Edema, Acute Myocardial Infarction, Heart Failure, Mitral Regurgitation
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