A Case of Bronchial Varices in a Patient with Severe Mitral Stenosis

Abstract

The bronchial varices in mitral stenosis are uncommon and incidentally discovered during bronchoscopy. Although bronchial varices are primarily associated with bronchial or pulmonary disease, the bronchial vein can be dilated with increased pulmonary venous pressure secondary to mitral stenosis. The bronchial varices may present massive hemoptysis. The hemoptysis can be controlled by mitral commissurotomy or mitral valve replacement in case of mitral stenosis. We report a case of bronchial varies in a patient with severe mitral stenosis. The bronchial varices were found incidentally during bronchoscopy and they were nearly disappeared by mitral valve replacement.

Bronchial Varices in a Patient with Behçet's diasese: A Case Report

“…3 Bleeding from the veins is rarely found on bronchoscopy and only incidentally in patients with hemoptysis. 4 The longer the SVC obstruction remains, the more collateral veins without SVC drainage form due to flow from the head/neck area and upper extremities.…”

“…with Behçet's disease. [3][4][5][6][7][8][9] Although the exact mecha- nism of vessel obstruction associated with Behcet's disease is unknown, a complex mechanism involving interactions among T lymphocytes, neutrophils, and antigen-presenting cells has been proposed. 5,10 In addition, a genetic mutation may contribute; 6 no thrombophilic factor is known to be involved.…”