Recurrent positional unilateral pulmonary edema following CABG: an uncommon case report.

J Surg Case Rep

Cardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital, AL ain Road, Km 0.5, 3000, Sfax, Tunisia.

Published: October 2024

AI Article Synopsis

  • A 60-year-old patient was found to have pericardial agenesis during heart surgery, but the condition was not addressed at that time.
  • After surgery, the patient suffered from recurring right pulmonary edema when positioned semi-upright.
  • A second surgery to reconstruct the pericardium was performed 48 hours later, and the patient recovered well afterward.*

Article Abstract

We reported a case of pericardial agenesis discovered at the age of 60 during coronary artery bypass grafting surgery. However, this anomaly was not treated during the initial surgery. During the post-operatory period, the patient developed recurrent unilateral right pulmonary edema whenever assuming a semi-upright position. We hypothesized that the positional hemodynamic alterations in this patient were related to this rare congenital anomaly. The patient underwent reoperation, 48 hours later, with synthetic pericardial reconstruction and experienced an uneventful recovery during follow-up.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456815PMC
http://dx.doi.org/10.1093/jscr/rjae615DOI Listing

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