This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (15)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

STANLEY H. SAHN, M.D.; IDA LEVINE, M.D.

Arch Intern Med. 1950;85(3):483-489.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE LUNG parenchyma in patients with compensated mitral stenosis has usually been reported as free of pathologic signs. Physicians have been taught to expect a normal lung picture in the early stages of this disease. With time, the progressive fibrosis of the valve and the chordae tendineae bring about cardiac inefficiency with diffuse engorgement of the pulmonary vessels, best seen at the hilus. This progressive loss of cardiac reserve finally manifests itself as outright decompensation, with pulmonary edema and pleural effusions. Except for the intercurrent complication of infarcts, this is the routine description of the pulmonary findings.¹

However, in the more recent roentgenologic texts and in the literature, there have occasionally been described disseminated miliary nodules in the lungs of patients with long-standing mitral stenosis.² This occurrence has been considered unusual; less than 25 cases were reported in the American literature during the ten years previous to this report. . . . [Full Text PDF of this Article]

Author Affiliations
BROOKLYN

From the Chest Diseases Service of Dr. Harry B. Reibstein, Beth-El Hospital.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?