title: Massive pulmonary hemorrhage complicating mitral prosthetic valve obstruction.
abstract: 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.
authors.affiliation: Division of Cardiothoracic Surgery, Mayo Foundation, Rochester, Minn. 55905.
authors.forename: G
authors.initials: G
authors.lastname: Michielon
authors.forename: C J
authors.initials: CJ
authors.lastname: Mullany
authors.forename: R W
authors.initials: RW
authors.lastname: Viggiano
authors.forename: W M
authors.initials: WM
authors.lastname: Brutinel
mesh_terms: 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