Fatal massive pulmonary hemorrhage is an extremely rare but unpredictable complication of severe mitral stenosis, suggesting early surgical intervention may be warranted in patients with a history of hemoptysis.
Alerts to rare fatal hemorrhage risk in severe mitral stenosis; leaves open whether hemoptysis should prompt earlier intervention.
Mitral stenosis is a well known cause of hemoptysis; however, sudden death due to fatal massive pulmonary hemorrhage is an extremely rare complication. In this report, we describe a 28-year-old female with severe mitral stenosis who died suddenly due to such complication. A review of the literature shows such complication is extremely rare and unpredictable. We recommend that patients with severe mitral stenosis and history of hemoptysis be considered as candidates for early surgical intervention.
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Leung et al. (1990) studied this question.
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