Case report detailing the presentation of severe pulmonary edema in an elderly woman following double valve replacement.
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May alert clinicians to this post-replacement complication in elderly patients; leaves open questions on incidence and prevention.
Presentation of CaseAn 81-year-old woman was admitted to the hospital because of severe pulmonary edema after aortic-valve and mitral-valve replacements.The patient had been in good health until four years earlier, when severe dyspnea developed. A cardiac-catheterization study showed that the right atrial pressure was 4 mm Hg, the pulmonary arterial pressure was 28/17 mm Hg, and the pulmonary-capillary wedge pressure was 15 mm Hg. There was severe aortic stenosis, with a peak pressure gradient of 100 mm Hg. The cardiac output was 4.4 liters per minute. Left ventricular function was normal. A coronary angiographic examination revealed 80 percent . . .
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Hales et al. (1995) studied this question.
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