Why the study?
Does complex surgical repair provide safe and effective outcomes in patients with rheumatic mitral stenosis?
Does complex surgical repair provide safe and effective outcomes in patients with rheumatic mitral stenosis?
Complex surgical repair of rheumatic mitral stenosis is feasible and associated with low operative mortality and good mid-term outcomes.
Supports consideration in experienced centers; leaves open comparative efficacy and durability versus replacement.
A 36-year-old Thai woman presents with a 6-month history of worsening dyspnea, chest pain and occasional hemoptysis. Her past medical history is significant for multiple upper respiratory tract infections as a child. On auscultation, a mid-diastolic rumbling murmur is heard at the apex, graded 3/6. Echocardiography demonstrates left atrial dilatation with a mitral valve area of 1.0 cm, a mean transmitral gradient of 10 mmHg and severe subvalvular fusion. The patient is referred for surgical correction of rheumatic mitral stenosis.
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Chotivatanapong et al. (2015) studied this question.
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