Highlights the late morphological changes and clinical course of an anterior mitral leaflet tear complicating balloon valvuloplasty for rheumatic mitral stenosis.
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May support extended monitoring after valvuloplasty-related leaflet tear; leaves open optimal surgical timing in similar cases.
The case of a 45-yr-old woman who had balloon valvuloplasty for rheumatic mitral stenosis is presented. An anterior mitral leaflet tear occurred as a complication of the procedure. Both partial healing of the anterior mitral leaflet and gradual dilatation of the left atrium occurred which allowed the damaged valve to remain in situ for several months. Some of the late changes which occur after such a complicated valvuloplasty are illustrated here, as this patient eventually required surgery and valve excision for definitive repair.
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Black et al. (1990) studied this question.
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