Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection

Kazuhito Hirata; Toru Ishimine; Izumi Nakayama; Nobuhito Yagi; Minoru Wake; Takanori Takahashi; Naoki Taniguchi; Toshiho Tengan

doi:10.2169/internalmedicine.5750-20

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Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection

Kazuhito Hirata, Toru Ishimine, Izumi Nakayama, Nobuhito Yagi, Minoru Wake, Takanori Takahashi, Naoki Taniguchi, Toshiho Tengan

著者情報

キーワード: unilateral pulmonary edema, acute aortic dissection, heart failure

ジャーナルオープンアクセス早期公開

論文ID: 5750-20

DOI https://doi.org/10.2169/internalmedicine.5750-20

この記事には本公開記事があります。

The final version of this article is now available: Vol. 60 (2021), No. 5 pp. 751-753

詳細

抄録

Unilateral pulmonary edema (UPE) is a rare entity and is usually associated with severe mitral regurgitation and more frequently occurs in the right lung. We herein report a case of unilateral left pulmonary edema caused by external compression of the right pulmonary artery and left pulmonary vein caused by the presence of hematoma due to type A acute aortic dissection (AAD), resulting in asymmetrically increased inflow and decreased outflow in the left pulmonary circulation. Physicians caring for patients with UPE should be aware that AAD leading to the external compression of the heart may be a possible underlying mechanism.

責任著者(Corresponding author)

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