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

Park, Hye Kyeong; Kang, Yeun Jeong; Choi, Sang Bong; Park, I Nae; Jeung, Hoon; Hur, Jin Won; Lee, Hyun Kyung; Yum, Ho Kee; Lee, Hyuk Pyo; Jang, Ji Min; Kim, Joung Sook; Choi, Soo Jeon

doi:2007.63.5.458

Tuberc Respir Dis > Volume 63(5); 2007 > Article

Case Report

Tuberculosis and Respiratory Diseases 2007;63(5):458-461.
DOI: https://doi.org/10.4046/trd.2007.63.5.458 Published online November 1, 2007.

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

Hye Kyeong Park, Yeun Jeong Kang, Sang Bong Choi, I Nae Park, Hoon Jeung, Jin Won Hur, Hyun Kyung Lee, Ho Kee Yum, Hyuk Pyo Lee, Ji Min Jang, Joung Sook Kim, Soo Jeon Choi

¹Department of Internal Medicine, Inje University College of Medicine, Paik Hospital, Seoul, Korea. choisj@sanggyepaik.ac.kr
²Department of Chest Surgery, Inje University College of Medicine, Paik Hospital, Seoul, Korea.
³Department of Radiology, Inje University College of Medicine, Paik Hospital, Seoul, Korea.

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.

Key Words: Pulmonary edema, Mitral regurgitation, Chordae tendineae