Hemoptysis, recurrent cerebrovascular accident, and emergency mitral valve replacement.
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.
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001705:Bioprosthesis; D004630:Emergencies; D006350:Heart Valve Prosthesis; D006469:Hemoptysis / Q000209:etiology*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000150:complications* / Q000188:drug therapy; D008171:Lung Diseases / Q000209:etiology; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000150:complications / Q000601:surgery*; D012008:Recurrence
D000925:Anticoagulants