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Ann Thorac Surg 1975;20:581-585
© 1975 The Society of Thoracic Surgeons

Articles

Pulmonary Edema Following Pulmonary Valvulotomy

Rodney E. Matisonn, M.B.*, Abdul S. Mitha, M.R.C.P. (Lond.), Mervyn A. Williams, F.R.C.S.E., Elliot Chesler, M.D.

Cardio-Thoracic Unit, Wentworth Hospital, and the University of Natal, Durban, South Africa

Accepted for publication March 12, 1975.

* Address reprint requests to Dr. Matisonn, Cardiac Unit, Wentworth Hospital, P. B. Jacobs, Natal 4026, South Africa

A previously unreported combination of critical pulmonary valve stenosis and mitral stenosis is described. The initial clinical presentation was one of right ventricular failure that obscured the evidence of pulmonary venous hypertension. Following pulmonary valvulotomy, pulmonary edema ensued because of the increased pulmonary blood flow. The importance of urgent cardiac catheterization postoperatively following an operation that increases pulmonary blood flow is discussed.






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