Key result
Emergency mitral valve replacement relieves severe, life-threatening hemoptysis in acute mitral stenosis.
Why the study?
Massive pulmonary hemorrhage is uncommon in mitral stenosis despite frequent hemoptysis, and management in acutely ill patients is not well described.
Case Report (n=1)
Mitral valve replacement can be successfully performed in acutely ill patients with mitral stenosis to relieve severe hemoptysis.
May support emergency MVR for hemoptysis in acute MS; hypothesis-generating and requires prospective validation.
Hemoptysis in mitral stenosis may occur frequently, but massive pulmonary hemorrhage is uncommon. We describe a patient with mitral stenosis who had severe hemoptysis and required anticoagulation for recurrent embolic cerebrovascular accidents. The patient underwent successful mitral valve replacement with a Hancock bioprosthesis. There was no evidence of pulmonary bleeding following operation. This case illustrated that mitral valve operation may be performed in acutely ill patients for the relief of hemoptysis.
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Sambasivan et al. (1980) conducted a case report in Mitral stenosis with severe hemoptysis and recurrent cerebrovascular accidents (n=1). Mitral valve replacement with a Hancock bioprosthesis was evaluated on Relief of hemoptysis / pulmonary bleeding. Emergency mitral valve replacement with a Hancock bioprosthesis successfully relieved severe hemoptysis in an acutely ill patient with mitral stenosis.
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