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Intractable Hemoptysis in Mitral Stenosis Treated by Emergency Mitral Commissurotomy

HOWARD W. RAMSEY, M.D.; ANGEL DE LA TORRE, M.D.; THOMAS D. BARTLEY, M.D.; and JOSEPH W. LINHART, M.D.
Ann Intern Med. 1967;67(3_Part_1):588-593. doi:10.7326/0003-4819-67-3-588
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The occurrence of hemoptysis in patients with mitral stenosis is not unusual. Various authors report a prevalence of from 17 to 20% (1-4). However, it is exceedingly uncommon for this pulmonary hemorrhage to be of sufficient magnitude to be life-threatening (1-7). Although the usual therapeutic measures including bronchoscopy generally suffice, there have been reports of fatal asphyxia after pulmonary hemorrhage in patients with mitral stenosis (8, 9). Therefore, a more direct approach to the underlying cause of the pulmonary venous hypertension and the hemoptysis is necessary in certain patients. In this regard, three previously reported patients underwent emergency mitral valve

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MITRAL VALVOTOMY IN YOUNG PATIENTS. Br Heart J 1964;26():157-66.
Treatment of mitral stenosis. Eur Heart J 1991;12 Suppl B():95-8.

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