Pulmonary hypertension frequently complicates mitral stenosis. Increased pulmonary artery pressure results from raised left atrial pressure, pulmonary arteriolar constriction, and obliterative changes in the pulmonary vascular bed, and usually responds to surgical relief of mitral stenosis. However, severe pulmonary hypertension may persist after surgical treatment of mitral stenosis. We descri...

From heart disease complicating pregnancy, rheumatic mitral stenosis occupies a larger part. Physiological changes during pregnancy and the impact of pathological mitral stenosis on pregnancy and labor are important to know. A multidisciplinary approach to the diagnosis and treatment reduces mortality and morbidity. We report the case of a patient with mitral stenosis moderately tight with term...

An apical mid-diastolic murmur is sometimes audible in patients with a patent ductus arteriosus (Nadas and Alimurung, 1952) but differentiation from organic mitral stenosis is usually not difficult. The patient described in this paper presented with typical murmurs of isolated mitral stenosis and the correct diagnosis of patent ductus arteriosus and trivial mitral stenosis was made only at oper...

surgery for heart diseases during pregnancy, especially necessitating cardiopulmonary bypass, is believed to trigger maternal and fetal risks and should be performed only when medical therapy has been unsuccessful to alleviate the cardiac decompensation. a 33-year-old pregnant woman in her 33rd week of gestation was admitted to our hospital. she had rheumatic mitral valvular stenosis and had un...

BACKGROUND The importance of the contribution of atrial systole to ventricular filling in mitral stenosis is controversial. The cause of reduced cardiac output following the onset of atrial fibrillation may be due to an increased heart rate, a loss of booster pump function, or both. METHODS AND RESULTS We studied the atrial contribution to filling under a variety of conditions by combining no...

Percutaneous Mitral Commissurotomy Rheumatic mitral stenosis continues to be endemic in developing countries, where mitral stenosis is the most frequent valve disease.1 Although the prevalence of rheumatic fever has greatly decreased in Western countries, it continues to represent an important clinical entity because of outmigration from developing countries. The figure given by the registry Eu...

the most common rheumatic valvular lesion encountered in pregnant patients is mitral stenosis. the clinical presentation of mitral stenosis in pregnancy is further complicated by the physiological increases in cardiac output and blood volume occurring during pregnancy that make the pregnant patient with this valvular disease more susceptible to decompensation. We report a case of a 35-year-old ...

Three patients with mitral stenosis are described, in whom the haemodynamic findings at cardiac catheterisation were more suggestive of left ventricular myocardial disease, in that the left ventricular diastolic pressure was high and the mitral valve gradient small. However, their echocardiograms showed abnormal wall movement during diastole characteristic of severe inflow obstruction, with slo...

an 80-year-old diabetic man with severe aortic stenosis was admitted to our hospital for cardiogenic shock complicating non-st-elevation myocardial infarction. echocardiographic evaluation showed also a severe degree of both left ventricular dysfunction and mitral regurgitation. the patient was initially stabilized with inotropes and mechanical ventilation was necessary because of concurrent pu...

SUMMARY Forty-two patients with pure mitral stenosis underwent a prospective, longitudinal study with two or more cardiac catheterizations 1 to 10 years apart and without intervening surgical treatment. The majority of patients had not previously had mitral valve surgery; in 16, the period of observation followed valvotomy. Twenty-seven patients showed evidence of progressive obstruction of the...