Unilateral pulmonary oedema in severe mitral regurgitation from posterior leaftlet prolapse

Case contributed by Dr Charlie Chia-Tsong Hsu

Presentation

75 year old female. Shortness of breath.

Patient Data

Age: 75
Gender: Female

X-ray at presentation showed right mid zone consolidaiton with thickened minor fissure. Transthoracic echocardiogram performed showed prolapse of posterior leaflet of the mitral valve with severe mitral regurgitation. Patient was commenced on diuretic therapy. 

X-ray the following day showed resolution of unilateral pulmonary oedema. 

Case Discussion

Transthoracic echocardiogram showed severely dilated left atrium. Prolapse posterior mitral valve leaflets with anteriorly directed severe regurgitation. Systolic flow reversal observed in the pulmonary veins.  Mildly dilated LV with low normal systolic function, EF of 60%. 

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Case Information

rID: 20939
Case created: 22nd Dec 2012
Last edited: 19th Dec 2015
System: Chest
Inclusion in quiz mode: Included

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