Korean J Crit Care Med.  2015 Aug;30(3):202-206. 10.4266/kjccm.2015.30.3.202.

Massive Hemoptysis due to Acute Mitral Regurgitation with Sporadic Primary Mitral Valve Prolapse

• Chae WY
• Park SJ
• Song CW
• Lee BH
• Kim SH
• Lee JH

• KMID: 2227650
• DOI: http://doi.org/10.4266/kjccm.2015.30.3.202

Abstract

The most common cardiac cause of massive hemoptysis is mitral stenosis. Mitral regurgitation is rarely complicated by massive hemoptysis. A 48-year-old man with no significant medical history was admitted to our hospital with hemoptysis and production of 500 mL of blood within 24 hours. A pan-systolic murmur was found on chest examination. A chest computed tomography showed airspace consolidation in the right upper and middle lobes, with faint bilateral ground glass opacity. Echocardiography revealed mitral valve prolapse and grade IV mitral regurgitation. The patient was diagnosed with sporadic primary mitral valve prolapse. After mitral valve repair surgery, the patient recovered fully.

Keyword

hemoptysis; mitral valve insufficiency; mitral valve prolapse

MeSH Terms

Echocardiography
Glass
Hemoptysis*
Humans
Middle Aged
Mitral Valve Insufficiency*
Mitral Valve Prolapse*
Mitral Valve Stenosis
Mitral Valve*
Thorax

Figure

• 

  Fig. 1. Chest radiograph showing consolidation in the right upper and middle lobes.

• 

  Fig. 2. The transverse (A, B) images of the chest computed tomograhphy show patchy consolidation in the right upper and middle lobes and bilateral ground glass opacity with no mass.

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  Fig. 3. Transthoracic echocardiography with subcostal four-chamber view. Color Doppler image shows severe mitral regurgitation with eccentric jet flow.

• 

  Fig. 4. Surgical findings show that the P1 scallop of the mitral valve is relatively thick and prolapsed (A). Mitral valve repair with Cosgrove-Edwards annuloplasty ring-flexible band was performed (B).

Reference

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