A 33-years-old Caucasian female with severe obesity (BMI 40.1) developed severe acute
respiratory distress. She was diagnosed as massive acute pulmonary embolism. At the
same time, multiple segmental pulmonary edema was noted. Pulmonary perfusion scintigraphy
revealed that segmental pulmonary edema was observed only in pulmonary segments that
survived thromboembolism. What is the mechanism?
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