March 1977

High Output Heart Failure Associated With Pulmonary Edema Complicating Hydatidiform Mole

Author Affiliations

From the Shock Research Unit and the Department of Medicine, University of Southern California School of Medicine, Los Angeles County/ USC Medical Center, and the Center for the Critically Ill, Hollywood Presbyterian Medical Center, Los Angeles.

Arch Intern Med. 1977;137(3):367-369. doi:10.1001/archinte.1977.03630150065018

Detailed hemodynamic, metabolic and blood volume studies were performed in a patient with hydatidiform mole who developed pulmonary edema associated with a high cardiac output. Several factors including hyperthyroidism, hypervolemia, and the molar state probably contributed to the left ventricular failure in this patient. Results of these studies suggest that patients with hydatidiform mole and pulmonary edema need correction of the hypervolemia as well as removal of the molar tissue.

(Arch Intern Med 137:367-369, 1977)