Described herein are five patients who had double left-sided cardiac valve replacement for mitral and aortic valve stenosis resulting from two different etiologies: rheumatic heart disease, the cause of the mitral stenosis, and congenital heart disease (bicuspid valve), the underlying cause of the aortic stenosis.

AIM While the incidence of rheumatic heart disease has declined dramatically over the last half-century, the number of valve surgeries has not changed. This study was undertaken to define the most common type of valvular heart disease requiring surgery today, and determine in-hospital surgical mortality and length-of-stay (LOS) for isolated aortic or mitral valve surgery in a United States tert...

OBJECTIVES The aim of this study was to assess exercise-induced changes in stroke volume and their main determinants in mitral stenosis. BACKGROUND The mechanisms of the stroke volume response to exercise in mitral stenosis are not clearly established. METHODS Twenty-seven patients with mitral stenosis, aged 47 +/- 13 years, and 10 healthy control subjects, aged 46 +/- 11 years, were examin...

a 47 year-old female died after mitral valve replacement. post-cardiopulmonary bypass right ventricle was not able to pump despite good left ventricular contractility. at microscopic examination, diffuse right ventricular fatty infiltration was found. we found no previous report of this pathology in patients with mitral stenosis

The results of investigation in 5 children with congenital deformities of the mitral valve region characteristic of the 'parachute mitral valve complex' were reviewed. Three patients had parachute mitral valve, i had supravalvar mitral ring, and i had both these lesions. Associated anomalies included ventricular septal defect, double outlet right ventricle, subaortic stenosis, bicuspid aortic v...

A real-time, phased-array, two-dimensional echocardiography system was used to assess mitral valve motion in 30 catheterized patients with pure mitral stenosis. Suitable images for analysis of mitral valve motion were obtained in 25 patients. The valve leaflets were most thickened and immobile at the leaflet tips while maximum mobility was at the leaflet body. Diastolic movement of anterior mit...

rheumatic mitral valve stenosis is the most common form of organic heart disease encountered during pregnancy and continues to cause maternal and fetal mortality. medically refractory congestive heart failure due to mitral stenosis is a clinical challenge and its optimal management remains controversial. on the other hand due to hazard of x-ray to mother and fetus, there are some limitations fo...

Of seven patients with pulmonary hypertension, two had marked and one had moderate retardation of the echocardiographic anterior mitral valve leaflet closing motion, suggestive of mitral stenosis. In each patient, however, mitral stenosis was excluded by hemodynamic or anatomic criteria. The reason for the abnormal mitral valve motion was considered to be a reduced rate of left ventricular dias...

SUMMARY Forty-two patients with pure mitral stenosis underwent a prospective, longitudinal study with two or more cardiac catheterizations 1 to 10 years apart and without intervening surgical treatment. The majority of patients had not previously had mitral valve surgery; in 16, the period of observation followed valvotomy. Twenty-seven patients showed evidence of progressive obstruction of the...

A 44-year-old woman presented with dyspnea on exertion. Her past medical history included rheumatic heart disease and she had been followed up for rheumatic mitral valve stenosis for the last 4 years. Her symptoms had worsened over the 3 months prior to her presentation. She was evaluated in the emergency department and electrocardiographic examination revealed atrial fibrillation. Sinus rhythm...