Leung W H, Lau C P, Wong C K, Cheng C H
Department of Medicine, Queen Mary Hospital, University of Hong Kong.
Clin Cardiol. 1990 Feb;13(2):136-8. doi: 10.1002/clc.4960130214.
Mitral stenosis is a well known cause of hemoptysis; however, sudden death due to fatal massive pulmonary hemorrhage is an extremely rare complication. In this report, we describe a 28-year-old female with severe mitral stenosis who died suddenly due to such complication. A review of the literature shows such complication is extremely rare and unpredictable. We recommend that patients with severe mitral stenosis and history of hemoptysis be considered as candidates for early surgical intervention.
二尖瓣狭窄是咯血的常见病因;然而,因致命性大量肺出血导致的猝死是一种极其罕见的并发症。在本报告中,我们描述了一名28岁患有严重二尖瓣狭窄的女性,她因这种并发症突然死亡。文献回顾显示,这种并发症极其罕见且不可预测。我们建议,患有严重二尖瓣狭窄并有咯血病史的患者应被视为早期手术干预的候选对象。