The Mitral Valve and the Lungs

Mitral valve disease has a significant impact on the respiratory system. Present-day pulmonologists must be aware of its myriad presentations and evolving treatment landscape.

Mitral valve disease can lead to a variety of manifestations in the respiratory system. Elevated pressures in the pulmonary venous system can lead to pulmonary hypertension, hemoptysis, pulmonary edema, and parenchymal changes. Clinical presentations range from asymmetric pulmonary edema mimicking pneumonia to massive pulmonary hemorrhage. The management of mitral valve disease has changed considerably over the last decade and warrants review.

This review provides an update on the manifold presentations and current therapeutic options for mitral valve disease.