[Asymmetric pulmonary perfusion causing unilateral pulmonary edema as a complication of acute myocardial infarction].
Acute unilateral pulmonary edema is an unusual clinical condition occasionally associated with severe mitral valve insufficiency. We describe a patient diagnosed as having unilateral pulmonary edema after an acute anterior myocardial infarction. Echocardiograms performed in the acute phase ruled out mitral insufficiency. A perfusion lung scan showed left-sided pulmonary hypoperfusion. The diagnosis of acquired hypoplasia of the left pulmonary artery tree was made by chest computed tomography. The pathogenesis and differential diagnosis are discussed.
Peña
Carlos
C
Servicio de Cardiología, Hospital Clínico Universitario, Santiago de Compostela, La Coruña, Spain. carlospenagil@hotmail.com
Jaquet
Michel
M
Salgado
Julio
J
Pubul
Virginia
V
Ruibal
Alvaro
A
Vázquez
Begoña
B
D000368:Aged; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*; D011652:Pulmonary Circulation; D011654:Pulmonary Edema / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013902:Radiography, Thoracic; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed