Mitral Valve Stenosis And Mitral Valve Replacement

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Mitral Stenosis

Mitral Valve Stenosis occurs when the valve size reduces from 4 - 6 cm2 to 2 cm2 ; it is severe when it is les than 1 cm2

Mitral Stenosis[MS] is the narrowing of the mitral valve causing hindrance to the blood flow. The normal mitral valve orifice is about 4 to 6 cm2. When this area becomes less than 2 cm2 , a pressure gradient across the valve develops. As the gradient increases the time for ventricles to fill increases; resulting in increased heart rate, reduced cardiac output and pulmonary hypertension. The constant increase in the left atrial pressure causes pulmonary congestion and dilates the left atrium. Patients are prone to develop atrial fibrillation and heart failure.


Mitral stenosis is termed severe when the valve area is less than 1 cm2. Mitral stenosis is more common in women than in men. Symptoms usually occur in or after the third decade of life and its progression is higher in developing countires compared to the developed western countries.

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Patients undergoing mitral valve replacement are susceptible to the following risks. Bleeding, infection, complex reaction to anesthetic. The risk involved in most cases can be determined by the physician and it depends on a variety of factors such as the patient’s age, general condition, specific medical problems and heart functions.

Alternative treatment is Balloon valvuloplasty.Balloon valvuloplasty is performed using a catheter, i.e. a very thin flexible tube which can be inserted into the body, with a balloon at the end. The balloon is put inside the valve and is expanded thus stretching the valve and bringing it back to its normal size. For more info: heart-consult.com/articles.

can you pl guide me what to do i have mitral valve balooning twice after gap of 10 years and presently,I am only 30 years old.I am on acitrom 2 mg [Anticoagulant], metolar 25 mg and Penicilin 10 lacs once in three weeks.I am having feeling of irregular heart beating and sometimes irregular palpitations.I had undergone check up in 2008 june last time everything was ok and there was no need of balloning that time.Is it possible that there may be severe damage only in these two yaers that is between 2008 to 2010.Pl suggest and what could be the situation.

rolando

hallo, i am suffering from mitral valve stenosis for about 3.5jear. am like you help me without operation.

guest

My mother had sucessive surgery. I flew her to NYC to see Dr David Adams ..the worlds greatest in mitral valve repair and replacement. His entire team at Mount Sinai is fabulous. He see patients from around the world.

guest

i am suffering from Mitral stenosis(Moderate-severe)and Mitral regurgitation(Mild-moderate).The disease surfaced some 5/6 months back.i am intrested in the latest non surgical treatment.please guide/help me.thanks with regards,waiting for your reply.

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