title: Negative pressure pulmonary edema in the coronary care unit.
abstract: A 63-year-old woman with no known cardiac history presented with pulmonary edema accompanied by electrocardiographic evidence of ischemia. Echocardiography demonstrated normal cardiac dimensions, normal wall motion and mild diastolic dysfunction. Despite repeat attempts at extubation following aggressive diuresis, the patient required ongoing ventilatory support. Although cardiac catheterization revealed normal coronary arteries, computed tomography revealed a 4 cm 9 cm multinodular goiter extending into the mediastinum and compressing the trachea. A diagnosis of negative pressure pulmonary edema should be considered in the differential diagnosis of any patient presenting with acute heart failure.
authors.affiliation: Department of Cardiac Sciences, University of Manitoba, Winnipeg, Canada.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Schaffer
authors.forename: Rizwan A
authors.initials: RA
authors.lastname: Manji
authors.forename: Iain
authors.initials: I
authors.lastname: Kirkpatrick
authors.forename: Tielan
authors.initials: T
authors.lastname: Fang
authors.forename: Rakesh C
authors.initials: RC
authors.lastname: Arora
authors.forename: Shelley
authors.initials: S
authors.lastname: Zieroth
authors.forename: Davinder S
authors.initials: DS
authors.lastname: Jassal
mesh_terms: D003325:Coronary Care Units; D004417:Dyspnea / Q000209:etiology; D004562:Electrocardiography; D005260:Female; D006044:Goiter, Nodular / Q000000981:diagnostic imaging* / Q000601:surgery; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D011654:Pulmonary Edema / Q000175:diagnosis* / Q000601:surgery; D013965:Thyroidectomy; D014057:Tomography, X-Ray Computed; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery
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