Key result
Inadvertent surgical occlusion of the left pulmonary veins during mitral valve replacement caused unilateral left pulmonary edema, which resolved after re-exploration and stitch removal.
Why the study?
Unilateral left pulmonary edema caused by inadvertent surgical occlusion of pulmonary veins is an exceedingly rare complication of mitral valve surgeries and presents a diagnostic challenge.
Case Report (n=1)
No
Unilateral pulmonary edema after mitral valve surgery is a rare complication that can result from inadvertent surgical occlusion of the pulmonary veins, requiring a high index of suspicion and prompt re-exploration.
Unilateral edema after mitral replacement warrants vein occlusion exclusion; extends rare complication reports but leaves optimal diagnostics open.
Unilateral left pulmonary edema due to inadvertent surgical occlusion of left superior and inferior pulmonary veins is not only an exceedingly rare complication of mitral valve surgeries but also a diagnostic challenge in the postoperative recovery unit. Described here is a case of a 38-year-old male who developed progressively worsening unilateral left pulmonary edema after mitral valve replacement on postoperative day-1. The diagnosis was mostly by the exclusion of multiple possible differentials and was confirmed during reexploration surgery.
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Tharimena et al. (2020) conducted a case report in Unilateral left pulmonary edema (n=1). Mitral valve replacement was evaluated. Inadvertent surgical occlusion of the left pulmonary veins during mitral valve replacement caused unilateral left pulmonary edema, which resolved after re-exploration and stitch removal.
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