Vanishing pulmonary oedema, a visual delight!

Abstract

A forty-two year male patient with bileaflet mechanical mitral valve prosthesis presented with sudden onset breathlessness and haemodynamic collapse. He was in New York Heart Association (NYHA) class IV status with a pulse rate of 120 b.p.m. and blood pressure of 90/60 mmHg. Bilateral extensive crepitations over lung fields could be auscultated. He had stopped oral anticoagulation for past 15 days and had a subtherapeutic international normalized …