Unilateral pulmonary oedema from acute mitral regurgitation

Case contributed by Dr Jayanth Keshavamurthy

Presentation

New onset murmur with concern for cardiac pulmonary edema.

Patient Data

Age: 60 years old
Gender: Male

Right upper lobe ground glass alveolar opacity and air bronchogram sign. Differential diagnoses include blood, pus, water and protein.

Flail posterior leaflet and mitral regurgitation.

1 week post operative image showing a prosthetic mitral valve in place. Left pleural effusion-post operatively.

Case Discussion

Cardiac catheterisation showed no CAD and patient had a prosthetic Carpentier Edwards Mitral valve placement.

Final Pathologic Diagnosis:

A) MITRAL VALVE LEAFLETS, ANTERIOR (RESECTION):
-    Cardiac valve leaflets with no significant pathologic change.
-    No evidence of vegetations.

B) MITRAL VALVE LEAFLETS, POSTERIOR (RESECTION):
-    Cardiac valve leaflets with no significant pathologic change.
-    No evidence of vegetations.

PlayAdd to Share

Case Information

rID: 49315
Diagnostic certainty: Certain
Case created: 19th Nov 2016
Last edited: 14th Jan 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.