Zeitschrift für Kardiologie
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We report on a case of partial anomalous pulmonary venous return in a patient (54 years old, female) examined for the cause of pulmonary hypertension. Biplane transesophageal echocardiography in conjunction with color-coded ultrasound technique revealed an aberrant vessel draining into the vena cava superior. ⋯ This malconnection was not accompanied by associated anomalies, or defects of the atrial septum in particular. Invasive examination confirmed the echocardiographic results; with an angiographic catheter the opening of the right upper pulmonary vein into the superior vena cava was located exactly and depicted.
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We report on a 54-year-old previously healthy man admitted to the emergency room with massive pulmonary edema and unstable cardiovascular condition. Coronary heart disease was ruled out angiographically. The pressures in the pulmonary circulation were within normal limits and no signs of congestive heart failure were found. ⋯ The aneurysm was verified on postmortem examination. In pulmonary edema of unknown origin the possibility of neurogenic pulmonary edema should be considered. Etiology, pathomechanism, and therapy of neurogenic pulmonary edema are discussed.