Massive pulmonary hemorrhage complicating mitral prosthetic valve obstruction.
A case is reported of prosthetic mitral valve obstruction in a patient who had had three hospital admissions with massive hemoptysis. A diagnosis was finally made after two-dimensional echocardiography with Doppler and cardiac catheterization were performed. The patient was successfully treated with re-replacement of the valve. Any new pulmonary or cardiac symptom in a patient with a prosthetic valve requires prompt evaluation and treatment.
Michielon
G
G
Division of Cardiothoracic Surgery, Mayo Foundation, Rochester, Minn. 55905.
Mullany
C J
CJ
Viggiano
R W
RW
Brutinel
W M
WM
D000328:Adult; D001982:Bronchial Diseases / Q000209:etiology*; D004452:Echocardiography; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006469:Hemoptysis / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008943:Mitral Valve