Diffuse Alveolar Hemorrhage Secondary to Acute Mitral Regurgitation

We describe acute mitral valve regurgitation in a young, previously healthy male patient presenting with diffuse alveolar hemorrhage. The patient initially presented with acute respiratory failure with refractory arterial hypoxemia despite mechanical ventilation. Bronchoscopy showed diffuse alveolar...

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Main Authors: Fouad Khalil, Jaswanth R. Jasti, Mohammad Ali, Huthayfa Ateeli
Format: Article
Language:English
Published: Houston Methodist DeBakey Heart & Vascular Center 2022-12-01
Series:Methodist DeBakey Cardiovascular Journal
Subjects:
Online Access:https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1152
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author Fouad Khalil
Jaswanth R. Jasti
Mohammad Ali
Huthayfa Ateeli
author_facet Fouad Khalil
Jaswanth R. Jasti
Mohammad Ali
Huthayfa Ateeli
author_sort Fouad Khalil
collection DOAJ
description We describe acute mitral valve regurgitation in a young, previously healthy male patient presenting with diffuse alveolar hemorrhage. The patient initially presented with acute respiratory failure with refractory arterial hypoxemia despite mechanical ventilation. Bronchoscopy showed diffuse alveolar hemorrhage. The patient quickly developed cardiogenic shock, which required vasopressor infusion. Echocardiography showed severe mitral regurgitation and myxomatous mitral valve with anterior leaflet prolapse along with chordal rupture involving the anterior leaflet, which was flail. An Impella device was emergently placed, and the patient underwent mitral valve replacement with subsequent quick resolution of all symptoms.
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publishDate 2022-12-01
publisher Houston Methodist DeBakey Heart & Vascular Center
record_format Article
series Methodist DeBakey Cardiovascular Journal
spelling doaj-art-ba87ea14fa9c49f4800375ea24014bd82025-08-20T03:25:50ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082022-12-0118112112610.14797/mdcvj.1152169Diffuse Alveolar Hemorrhage Secondary to Acute Mitral RegurgitationFouad Khalil0https://orcid.org/0000-0002-8241-4324Jaswanth R. Jasti1Mohammad Ali2Huthayfa Ateeli3University of South Dakota, Sioux Falls, South DakotaUniversity of South Dakota, Sioux Falls, South DakotaUniversity of South Dakota, Sioux Falls, South DakotaAvera Hospital, Sioux Falls, South DakotaWe describe acute mitral valve regurgitation in a young, previously healthy male patient presenting with diffuse alveolar hemorrhage. The patient initially presented with acute respiratory failure with refractory arterial hypoxemia despite mechanical ventilation. Bronchoscopy showed diffuse alveolar hemorrhage. The patient quickly developed cardiogenic shock, which required vasopressor infusion. Echocardiography showed severe mitral regurgitation and myxomatous mitral valve with anterior leaflet prolapse along with chordal rupture involving the anterior leaflet, which was flail. An Impella device was emergently placed, and the patient underwent mitral valve replacement with subsequent quick resolution of all symptoms.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1152diffuse alveolar hemorrhageacute mitral regurgitationechocardiographymitral valve surgery
spellingShingle Fouad Khalil
Jaswanth R. Jasti
Mohammad Ali
Huthayfa Ateeli
Diffuse Alveolar Hemorrhage Secondary to Acute Mitral Regurgitation
Methodist DeBakey Cardiovascular Journal
diffuse alveolar hemorrhage
acute mitral regurgitation
echocardiography
mitral valve surgery
title Diffuse Alveolar Hemorrhage Secondary to Acute Mitral Regurgitation
title_full Diffuse Alveolar Hemorrhage Secondary to Acute Mitral Regurgitation
title_fullStr Diffuse Alveolar Hemorrhage Secondary to Acute Mitral Regurgitation
title_full_unstemmed Diffuse Alveolar Hemorrhage Secondary to Acute Mitral Regurgitation
title_short Diffuse Alveolar Hemorrhage Secondary to Acute Mitral Regurgitation
title_sort diffuse alveolar hemorrhage secondary to acute mitral regurgitation
topic diffuse alveolar hemorrhage
acute mitral regurgitation
echocardiography
mitral valve surgery
url https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1152
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AT jaswanthrjasti diffusealveolarhemorrhagesecondarytoacutemitralregurgitation
AT mohammadali diffusealveolarhemorrhagesecondarytoacutemitralregurgitation
AT huthayfaateeli diffusealveolarhemorrhagesecondarytoacutemitralregurgitation