Case report detailing the presentation of severe pulmonary edema in an elderly woman following double valve replacement.
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 . . .
Hales et al. (Thu,) studied this question.