title: Unilateral pulmonary edema caused by paravalvular leakage recognized by bedside transesophageal echocardiography.
abstract: We describe a case of acute unilateral left pulmonary edema occuring in an old man one year after mitral valve replacement. Transesophageal echocardiography identified a paravalvular leakage with severe mitral regurgitant jet directed to both left pulmonary veins. A prompt surgical closure of the leakage by pericardial patch was decided with rapid clinical and radiological improvement.
authors.affiliation: Department of Anesthesiology, University Hospital Liège, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: Denis
authors.forename: E
authors.initials: E
authors.lastname: Hoffer
mesh_terms: D000368:Aged; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology; D019095:Point-of-Care Systems; D011183:Postoperative Complications; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology*