Diagnosis of Mitral Valve Stenosis

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Diagnosis of Mitral Valve Stenosis

Most patients may not remember having Rheumatic Fever in their childhood. Doctors will be able to detect mitral stenosis on physical examination.

Auscultation will show a loud first heart sound (S1) followed by an opening snap. A diastolic murmur is present. Patients might also have signs of heart failure and pulmonary hypertension.

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Differential diagnoses for Mitral stenosis are aortic valve disease, atrial myxoma, emphysema and chronic obstructive pulmonary disease (COPD).

Chest X-ray reveals the enlargement of heart chambers and pulmonary vein. It can also show signs of congestive heart failure.

Echocardiogram (Echo) is performed to confirm mitral stenosis. Size of the mitral valve and the chambers can be measured along with the pressure gradient across the valve and pulmonary artery. Severity of mitral stenosis can be evaluated. A Transesophageal Echocardiogram (TEE) reveals the presence of small thrombus and vegetations present in the left atrium that is not picked up in regular echo.

Cardiac catheterization can also aid in the diagnosis of mitral stenosis. It helps the physician measure the pressures in each heart chamber, mainly the left atrium and left ventricle. The severity of Mitral Stenosis can also be determined.

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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.


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


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.


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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