ESTELLE E. KLEIBER, M.D.
In most cases of mitral stenosis with failure, cough is one of a number of symptoms: in few does it overshadow all others. It may be due to chronic congestive catarrh of the bronchial mucosa, but in the case reported below the mildness of the pulmonary changes offered no explanation of the cough. Indeed in this case the absence of marked pulmonary congestion is a crucial point since it aids in establishing the fact that severe and productive cough in this condition can be due merely to the mechanical pressure of an enlarged auricle on the trachea and bronchi.
KLEIBER EE. LONG STANDING PRODUCTIVE COUGH AS CHIEF CLINICAL MANIFESTATION IN MITRAL STENOSIS; A CASE COMPLICATED BY THROMBOSIS OF LEFT AURICLE1. Ann Intern Med. 1941;15:899–910. doi: 10.7326/0003-4819-15-5-899
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Published: Ann Intern Med. 1941;15(5):899-910.
Cardiology, Valvular Heart Disease.
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