(Figure 1A,B). Mitral valve mean pressure gradient was elevated to 16 mmHg and MVA was reduced to around 1.0 cm2. The orifice of the mitral valve was located in the lateral site, and both anterior and posterior commissures were fused and unclear. There was also mild tricuspid valve regurgitation, but no other valve stenosis, regurgitation, septal defect, hypoplastic left heart, or abnormal stru...

OBJECTIVE To compare Doppler, echocardiographic, and clinical variables in female and male patients with mitral stenosis. DESIGN Observational study in consecutive patients with mitral stenosis of cross sectional and Doppler echocardiographic and clinical variables and a retrospective search for a history of systemic embolism. SETTING A medical centre with 3000 beds, serving both urban and ...

Accurate haemodynamic assessment of mitral stenosis by hydraulic formulas requires measurement of the mean valve gradient and the cardiac output. The calculation is laborious, particularly in the presence of atrial fibrillation when averaged values obtained from multiple beat-to-beat determinations must be used. The relations between valve area, end diastolic gradient, and heart rate in 20 pati...

bailon mitral valvuloplasty and closed mitral valve conunissurotomy were performed in 450 and 127 patients, respectively. also, 254 patients with severe mitral stenosis were enrolled in a prospective randomized trial comparing the two procedures. immediately after balloon mitral valvuloplasty, mean left atrial pressure was 11.38±3.54 mmhg, transmitral valve gradient was 1.8±2 mmhg, and mitral v...

Valvular heart disease is a significant cause of morbidity and mortality. Rates increase with age and the prevalence will increase as the population ages. Several factors have led to an interest in expanding percutaneous valve repair and replacement techniques to more lesions in more patients. This review explores current percutaneous valve repair and replacement techniques in mitral stenosis, ...

Echocardiographic analysis of the movement of the posterior mitral valve leaflet in 60 patients with lone mitral stenosis, 35 patients with aortic stenosis, and 18 patients with aortic and mitral stenosis showed a spectrum of initial posterior mitral valve leaflet movement in early diastole. The classical anterior movement was seen in 36 out of 60 patients with mitral stenosis (60%), and 8 out ...

Mitral stenosis due to rheumatic heart disease is not common in the United States but is common in the developing world because rheumatic fever is still occurring frequently. Symptoms usually gradually occur in the young adult (most commonly female). Atrial fibrillation is a common accompanying rhythm in patients with proven mitral stenosis. The main physiologic event is a pressure gradient bet...

coagulants in acute myocardial infarction. Lancet 2: 327-331, 1961 103. Lieberman A, Hass WK, Pinto R et al: Intracranial hemorrhage and infarction in anticoagulated patients with prosthetic heart valves. Stroke 9: 18-24, 1978 104. Nichol ES, Keyes JN, Borg JF et al: Long-term anticoagulant therapy in coronary atherosclerosis. Am Heart J 55: 142-152, 1958 105. Wasserman AJ, Guttman LA, Yoe KB: ...

A 12-year-old child with no previous medical history was referred with a 4-day history of cough, shortness of breath, and peripheral blood eosinophilia. Transthoracic echocardiography showed a soft tissue infiltrating the left ventricular free wall, the lateral mitral annulus, and the mitral valve leaflets. A soft tissue strand connecting the lateral left atrial wall and mitral leaflets across ...

We report the case of a 42-year-old male who was admitted to the hospital with progressive dyspnea. Cardiomegaly and diffuse pulmonary edema were visible on chest X-ray and multiple oral and genital ulcers on physical examination. On admission, echocardiography revealed mitral valve prolapse (MVP) predominantly involving a basal portion of the posterior leaflet, with severe mitral regurgitation...