Unilateral pulmonary edema in severe mitral regurgitation from posterior leaftlet prolapse

Case contributed by Dr Charlie Chia-Tsong Hsu


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 edema. 

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%. 

PlayAdd to Share

Case information

rID: 20939
Published: 22nd Dec 2012
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.