Skip to main content
Netherlands Heart Journal logoLink to Netherlands Heart Journal
. 2006 Jun;14(6):225–228.

Right lower lobe oedema as a rare sign of left heart failure

EMJ Vandervliet, C van Tellingen
PMCID: PMC2557255  PMID: 25696638

Abstract

Two cases of right lower lobe oedema are presented as a supposedly very rare sign of left heart failure after myocardial infarction in the presence of acute mitral regurgitation. Causes of unilateral oedema and its clinical relevance in the diagnostic and therapeutic perspectives are discussed, and a review of the literature on this topic is presented.

Keywords: oedema, right lower lobe, regurgitation, mitral valve

Full text

PDF
227

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Akiyama K., Suetsugu F., Hidai T., Shimamoto K., Takahashi S. Left-sided unilateral pulmonary edema in postinfarction ventricular septal rupture. Chest. 1994 Apr;105(4):1264–1265. doi: 10.1378/chest.105.4.1264. [DOI] [PubMed] [Google Scholar]
  2. Alarcón J. J., Guembe P., de Miguel E., Gordillo I., Abellás A. Localized right upper lobe edema. Chest. 1995 Jan;107(1):274–276. doi: 10.1378/chest.107.1.274. [DOI] [PubMed] [Google Scholar]
  3. Gurney J. W., Goodman L. R. Pulmonary edema localized in the right upper lobe accompanying mitral regurgitation. Radiology. 1989 May;171(2):397–399. doi: 10.1148/radiology.171.2.2704804. [DOI] [PubMed] [Google Scholar]
  4. Keren A., Tzivoni D., Gottlieb S., Benhorin J., Stern S. Unilateral pulmonary edema complicating acute myocardial infarction. Am J Cardiol. 1986 Jan 1;57(1):182–183. doi: 10.1016/0002-9149(86)90979-3. [DOI] [PubMed] [Google Scholar]
  5. Keren A., Tzivoni D., Gottlieb S., Benhorin J., Stern S. Unilateral pulmonary edema complicating acute myocardial infarction. Am J Cardiol. 1986 Jan 1;57(1):182–183. doi: 10.1016/0002-9149(86)90979-3. [DOI] [PubMed] [Google Scholar]
  6. Lesieur O., Lorillard R., Thi H. H., Dudeffant P., Ledain L. Unilateral pulmonary oedema complicating mitral regurgitation: diagnosis and demonstration by transoesophageal echocardiography. Intensive Care Med. 2000 Apr;26(4):466–470. doi: 10.1007/s001340051183. [DOI] [PubMed] [Google Scholar]
  7. Rice J., Roth S. L., Rossoff L. J. An unusual case of left upper lobe pulmonary edema. Chest. 1998 Jul;114(1):328–330. doi: 10.1378/chest.114.1.328. [DOI] [PubMed] [Google Scholar]
  8. Roach J. M., Stajduhar K. C., Torrington K. G. Right upper lobe pulmonary edema caused by acute mitral regurgitation. Diagnosis by transesophageal echocardiography. Chest. 1993 Apr;103(4):1286–1288. doi: 10.1378/chest.103.4.1286. [DOI] [PubMed] [Google Scholar]
  9. Schnyder P. A., Sarraj A. M., Duvoisin B. E., Kapenberger L., Landry M. J. Pulmonary edema associated with mitral regurgitation: prevalence of predominant involvement of the right upper lobe. AJR Am J Roentgenol. 1993 Jul;161(1):33–36. doi: 10.2214/ajr.161.1.8517316. [DOI] [PubMed] [Google Scholar]

Articles from Netherlands Heart Journal are provided here courtesy of Springer

RESOURCES