title: Left-sided unilateral pulmonary edema in postinfarction ventricular septal rupture.
abstract: Unilateral pulmonary edema (UPE) is an unusual clinical condition occurring in left heart failure (LHF). Normally, cardiogenic UPE is more pronounced on the right side when no right pulmonary artery obstructive lesion exists. In contrast, we present a rare case of left-sided UPE due to ventricular septal rupture (VSR) complicated by acute myocardial infarction. Although the precise mechanism of unilateral presentation is not clear, such a left-sided unilateral manifestation is extremely rare in LHF. This is believed to be the first reported case of left-sided UPE with postinfarction VSR.
authors.affiliation: Department of Cardiovascular Surgery, Kosei General Hospital, Iwaki City, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Akiyama
authors.forename: F
authors.initials: F
authors.lastname: Suetsugu
authors.forename: T
authors.initials: T
authors.lastname: Hidai
authors.forename: K
authors.initials: K
authors.lastname: Shimamoto
authors.forename: S
authors.initials: S
authors.lastname: Takahashi
mesh_terms: D000368:Aged; D002303:Cardiac Output, Low / Q000150:complications; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000150:complications*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography