Key result
Bronchoscopic clot removal averts asphyxia in severe mitral stenosis with massive pulmonary hemorrhage.
Why the study?
Massive, life-threatening pulmonary hemorrhage as a consequence of mitral stenosis is distinctly unusual and poorly characterized.
Case Report (n=1)
May avert asphyxia in select mitral stenosis cases; single observation leaves efficacy and safety open.
HEMOPTYSIS occurs quite frequently as a consequence of mitral stenosis, but massive, life-threatening pulmonary hemorrhage is distinctly unusual.1 2 3 4 5 6 Oppenheimer and Schwartz3 have termed its occurrence "paroxysmal pulmonary hemorrhage," and Wood4 referred to it as "pulmonary apoplexy." Such hemorrhage has resulted in fatal asphyxia from intrabronchial blood clots on rare occasions.7 , 8 Two cases of closed mitral commissurotomy performed as an emergency because of severe hemoptysis have been reported.9 , 10 In the case presented below, a serious threat of asphyxia was averted by the bronchoscopic removal of blood clots that formed casts of the entire tracheobronchial tree. Such extensive blood-cast formation represents a . . .
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Myerson et al. (1966) conducted a case report in Mitral stenosis and massive pulmonary hemorrhage (n=1). Bronchoscopic removal of blood clots and emergency valve replacement was evaluated on Averting asphyxia. Bronchoscopic removal of blood clots successfully averted a serious threat of asphyxia in a patient with mitral stenosis and massive pulmonary hemorrhage.
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