BACKGROUND High morbidity and mortality due to Rheumatic heart disease (RHD) associated with females is mainly because of late diagnosis on one hand and socioeconomic reasons on the other hand. Poor referral to tertiary care centres leads to delayed diagnosis which results in complications. The objectives of this cross-sectional descriptive study was to assess the frequency of severe mitral ste...

M-mode echocardiography was performed in 54 patients 1 month to 3 years after mitral valvotomy for dominant mitral stenosis. The mitral valve closure index (MVCI), an index previously shown to correlate well with the calculated mitral valve area, was used to diagnose residual mitral stenosis. Using the equation MVCI = 33 MVC--12, 12 patients (22%) were deemed to have mild, 4 (7%) moderate, and ...

BACKGROUND To assess the gender-based differences in the echocardiographic outcomes of patients with mitral stenosis presenting at a tertiary care hospital and the clinical implications of such differences. METHODS A total of 90 echocardiographs of both men and women (aged < or = 15 years) having mitral valve area (MVA) less than 4 cm2 were assessed. In addition to MVA, pressure halftime and ...

We selected 40 patients with severe symptomatic rheumatic mitral stenosis for balloon valvotomy using the Inoue balloon technique. The patients' mean age was 31 +/- 14 years and there were 24 females and 16 males. The patients were selected according to the following echo/Doppler criteria; 1. Severe mitral stenosis, i. e. mitral valve area (MVA) less than 1.1 cm2; 2. pliable anterior mitral val...

OBJECTIVE The purpose of this study was to evaluate the tenascin-C levels in severe rheumatic mitral stenosis before and after percutaneous mitral balloon valvuloplasty (PMBV). SUBJECTS AND METHODS Forty patients with severe mitral stenosis requiring PMBV and 20 age-matched healthy subjects were included in the study. The mitral valve areas, mitral gradients and systolic pulmonary artery pres...

Left atrium dilates and hypertrophies in mitral stenosis cases. Occasionally left atrium reaches to extreme sizes. In giant left atrium cases, mitral stenosis may be the sole pathology or it may be accompanied by mitral insufficiency, or it may present as mixed mitral disease where mitral stenosis dominate. Transthoracic echocardiography is the easiest and cheapest method for the diagnosis and ...

OBJECTIVE To assess the medium term outcome in infants and children after surgical resection of supravalvar mitral stenosis with special reference to risk factors for mortality or recurrence of supravalvar mitral stenosis. No detailed follow up has been previously reported in this uncommon condition. DESIGN Prospective cross sectional clinical and echocardiographic follow up. SETTING Paedia...

ISOLATED congenital mitral stenosis is an extremely rare condition. Only 8 cases have been reported in the literature, whereas 37 cases are recorded in association with other cardiac anomalies, such as patent ductus arteriosus, aortic stenosis, coarctation of the aorta, and aortic valve anomaly.' This paper describes 2 female infants, 4 months and 3 months old, respectively, with isolated conge...

Knowledge of the structural changes in the commissures, cusps, and chordae tendineate is important to the understanding of the pathologic physiology of mitral stenosis and its surgical correction. Study of 70 hearts with mitral stenosis disclosed that a frequent cause of the obstruction was commissural fusion or shortening of the chordae tendineae or both. In a small percentage of hearts, mitra...

Indices have been developed that provide an improved means for evaluation of the degrees of severity of mitral stenosis and regurgitation. The severity of anatomic mitral valve disease found at surgery or autopsy was considered to be the determinant of the state of the valve. An index of the time for the diastolic atrioventricular pressure gradient to fall to half its value multiplied by 100 an...