Contemporary Considerations in Mitral Valve Surgery

摘要: The ACC/AHA guidelines for intervention mitral stenosis are shown in Fig. 1. Patients must have at least moderate to warrant replacement or balloon valvuloplasty. also should be reasonably symptomatic with NYHA class III IV symptoms. Other indications include significant pulmonary hypertension (peak pressure >50 mm Hg) and/or recent onset atrial fibrillation. valve morphology suitable valvuloplasty ideally referred valvuloplasty, given the good results and lower morbidity mortality than commissurotomy (2). An established echocardiographic scoring system is generally used decide favorable it includes an evaluation of leaflet thickness, calcification, mobility as well assessment submitral chordal fusion (3). Contraindications left thrombus more degree regurgitation. In current era United States, implies a high probability replacement, that percutaneous usually preferable treatment patients repair.