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승모판 건삭 파열로 인한 급성 폐부종 1예

A Case of Pulmonary Edema by Idiopathic Rupture of Mitral Chordae Tendinae

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2007, v.63 no.5, pp.458-461
박혜경 (인제의대)
이혁표 (인제대학교)
강윤정 (충북대학교)
허진원 (울산대학교)
장지민 (인제대학교)
최수전 (인제대학교)
염호기 (인제대학교)
김정숙 (이화여자대학교)
최상봉 (인제의대)
박이내 (인제의대)
정훈 (인제대학교)
이현경 (인제의대)
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초록

저자들은 기침과 호흡 곤란을 주소로 내원한 환자에서 원인 모를 건삭 파열로 인하여 발생한 나비 양상의 폐부종 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

keywords
Pulmonary edema, Mitral regurgitation, Chordae tendineae, Pulmonary edema, Mitral regurgitation, Chordae tendineae

Abstract

The typical radiographic findings of pulmonary edema from the increased hydrostatic pressure shows centrally localized consolidation, which is known as a "butterfly or bat's wing" pattern. These terms describe the anatomic distribution of edema that uniformly involve the hilum and medulla of the lung but not the peripheral region of the lung parenchyma (cortex). We present a case of butterfly wing-like pulmonary edema on a chest radiograph by mitral regurgitation due to an idiopathic chordal rupture. (Tuberc Respir Dis 2007;63:458-461)

keywords
Pulmonary edema, Mitral regurgitation, Chordae tendineae, Pulmonary edema, Mitral regurgitation, Chordae tendineae

참고문헌

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(1999) Fraser and Pare’s diagnosis of diseases of the chest, Montreal: Saunders

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(2001) Mitral valve regurgitation causing right upper lobe pulmonary edema,

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Bilodeau S. Pulmonary edema of the right upper lobe associated with acute mitral regurgitation. Can Assoc Radiol J 1994,

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(1995) Localized right upper lobe edema,

8.

(189-93.) McGuire LB. Spontaneous rupture of mitral chordae tendinae. JAMA 1972,

Tuberculosis & Respiratory Diseases