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KMJ : Kosin Medical Journal

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2 "Pulmonary edema"
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Case reports
Dynamic Change of Ischemic Mitral Regurgitation in a Patient with Acute Coronary Syndrome
Hye Ree Kim, Min Gyu Kang, Kyehwan Kim, Hyun Woong Park, Jin-Yong Hwang, Jeong Rang Park
Kosin Med J. 2020;35(1):47-51.   Published online June 30, 2020
DOI: https://doi.org/10.7180/kmj.2020.35.1.47
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  • 8 Download
Abstract PDFPubReader   ePub   

Ischemic mitral regurgitation (IMR) is commonly known as a chronic complication of left ventricular remodeling due to coronary artery disease. Acute IMR after coronary artery disease, such as acute myocardial infarction particular, could also develop as a mechanical complication involving papillary muscle rupture. However, the clinical significance of acute transient IMR and the therapeutic intervention in coronary artery disease is infrequently reported. We describe a patient with acute pulmonary edema due to acute IMR, which resolved immediately after coronary revascularization.

Adrenal incidentaloma: a case of asymptomatic pheochromocytoma
Sang Yoong Park, Jong Cheol Rim, Hyun Chul Cho, Yoon Chan Lee, Jung A Kim, So Ron Choi
Kosin Med J. 2018;33(2):215-222.   Published online December 31, 2018
DOI: https://doi.org/10.7180/kmj.2018.33.2.215
  • 2,193 View
  • 3 Download
Abstract PDFPubReader   ePub   

An incidentaloma is a tumor found incidentally without clinical symptoms or suspicion; the lesion may be adrenal, pituitary, or thyroidal. We report the case of an asymptomatic individual with preoperatively undiagnosed pheochromocytoma (size: 4.86 cm) that was revealed using elective nonadrenal surgical procedures. The patient demonstrated peri- and post-operative hypertensive crisis and tachycardia. Three days after the dramatic onset of symptoms, the patient expired due to pulmonary edema, multiple organ failure, and terminal sepsis, despite administration of extracorporeal membrane oxygenation-assisted cardiopulmonary resuscitation. A left medial kidney mass obtained at autopsy confirmed pheochromocytoma.


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