Unilateral pulmonary edema from acute mitral regurgitation

Case contributed by Jayanth Keshavamurthy

Presentation

New onset murmur with concern for cardiac pulmonary edema

Patient Data

Age: 60 years
Gender: Male
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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

Left lung is clear. No pleural effusions.

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 catheterization 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.

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