Why the study?
Does valvotomy improve symptoms with acceptable risk in patients with mitral stenosis?
Population
Patients with symptomatic mitral stenosis, including those with extreme pulmonary vascular resistance…
Design
Review
Authors
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Risk stratification by valve morphology may guide valvotomy decisions in mitral stenosis; leaves open applicability of these historical rates to modern practice.
Does valvotomy improve symptoms with acceptable risk in patients with mitral stenosis?
Valvotomy provides excellent symptomatic relief in uncomplicated mitral stenosis, but risks of mortality and embolism increase significantly with valve calcification and incompetence.
R Emanuel (1963) studied this question.