Intractable Hemoptysis in Mitral Stenosis Treated by Emergency Mitral Commissurotomy

Case Studies1 September 1967Intractable Hemoptysis in Mitral Stenosis Treated by Emergency Mitral CommissurotomyHOWARD W. RAMSEY, M.D., ANGEL DE LA TORRE, M.D., THOMAS D. BARTLEY, M.D., JOSEPH W. LINHART, M.D.HOWARD W. RAMSEY, M.D., ANGEL DE LA TORRE, M.D., THOMAS D. BARTLEY, M.D., JOSEPH W. LINHART, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-3-588 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe occurrence of hemoptysis in patients with mitral stenosis is not unusual. Various authors report a prevalence of from 17 to 20% (1-4). However, it is exceedingly uncommon for this pulmonary hemorrhage to be of sufficient magnitude to be life-threatening (1-7). Although the usual therapeutic measures including bronchoscopy generally suffice, there have been reports of fatal asphyxia after pulmonary hemorrhage in patients with mitral stenosis (8, 9). Therefore, a more direct approach to the underlying cause of the pulmonary venous hypertension and the hemoptysis is necessary in certain patients. In this regard, three previously reported patients underwent emergency mitral valve...References1. BRADLOW BA: Haemoptysis in mitral stenosis. S. Afr. Med. J. 24: 93, 108, 1950. MedlineGoogle Scholar2. WOOD P: Appreciation of mitral stenosis: clinical features. Brit. Med. J. 1: 1051, 1954. CrossrefMedlineGoogle Scholar3. WOOD P: Appreciation of mitral stenosis: investigations and results. Ibid., p. 1113. Google Scholar4. THOMPSONSTEWART ACWC: Hemoptysis in mitral stenosis. JAMA 147: 21, 1951. CrossrefMedlineGoogle Scholar5. OPPENHEIMERSCHWARTZ BSSP: Paroxysmal pulmonary hemorrhages: syndrome in young adults with mitral stenosis. Amer. Heart J. 9: 14, 1933. CrossrefGoogle Scholar6. SONDERSSMITH CRAT: Clinical significance of hemoptysis. New Eng. J. Med. 247: 790, 1952. CrossrefMedlineGoogle Scholar7. BARNUM DR: Gross pulmonary hemorrhage due to mitral stenosis. Quart. Bull. Northwestern Med Sch. 29: 205, 1955. MedlineGoogle Scholar8. GINSBERG AM: Hemoptysis in mitral stenosis, with report of two cases, one with fatal hemorrhage. J. Missouri Med. Ass. 27: 205, 1930. Google Scholar9. ISAACSBARRASHRUSS HJMJDR: Fatal asphyxia due to massive hemoptysis in case of mitral stenosis. JAMA 151: 124, 1953. CrossrefMedlineGoogle Scholar10. FULTONSMITH WFG: Severe hemoptysis during pregnancy treated by mitral commissurotomy. Circulation 17: 204, 1958. CrossrefMedlineGoogle Scholar11. LUNGERABELSONELKINDKANTROWITZ MDSAHA: Massive hemoptysis in mitral stenosis; control by emergency mitral commissurotomy. New Eng. J. Med. 261: 393, 1959. CrossrefMedlineGoogle Scholar12. SCHWARTZMYERSONLAWRENCENICHOLS RRMITHT: Mitral stenosis, massive pulmonary hemorrhage, and emergency valve replacement. New Eng. J. Med. 275: 755, 1966. CrossrefMedlineGoogle Scholar13. STEWART HJ: Occurrence of hemoptysis as a symptom of acute heart failure in presence of mitral stenosis. Med. Clin. N. Amer. 18: 917, 1934. Google Scholar14. WOLFFLEVINE LHB: Hemoptysis in rheumatic heart disease. Amer. Heart J. 21: 163, 1941. CrossrefGoogle Scholar15. GILROYMARCHANDWILSON JCPVH: Role of bronchial veins in mitral stenosis. Lancet 2: 957, 1952. CrossrefMedlineGoogle Scholar16. FERGUSONKOBILAKDEITRICK FCREJE: Varices of bronchial veins as source of hemoptysis in mitral stenosis. Amer. Heart J. 28: 445, 1944. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Gainesville, FloridaFrom the Departments of Medicine and Surgery, College of Medicine, University of Florida, Gainesville, Fla.This study was supported in part by graduate cardiovascular training grant 5T1 HE 5493-06, U. S. Public Health Service, Washington, D. C., and by a grant from the Suncoast Heart Association, St. Petersburg, Fla.Requests for reprints should be addressed to Howard W. Ramsey, M.D., Department of Cardiology, Department of Medicine, College of Medicine, Gainesville, Fla. 32603. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byValve Replacement for Massive Hemoptysis in Mitral Stenosis: An Uncommon Course in Modern PracticeLife-threatening hemoptysis following mitral valvuloplasty for rheumatic mitral stenosisAcute Presentations of Valvular Heart DiseaseAlveolar HemorrhageHerzkrankheitenThe Evaluation of Patients for Prosthetic Valve ImplantationHemoptysis, recurrent cerebrovascular accident, and emergency mitral valve replacementThe Synthesis of the Pyrrole RingNatural History of Mitral Stenosis: A ReviewFatal Hemoptysis in Mitral Stenosis 1 September 1967Volume 67, Issue 3_Part_1Page: 588-593KeywordsBronchoscopyGraduate medical educationHeartHemorrhageLongitudinal studiesMedical servicesMitral stenosisPulmonary hypertensionStenosisSurgery Issue Published: 1 September 1967 PDF downloadLoading ...