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Year : 1979  |  Volume : 25  |  Issue : 4  |  Page : 201-206

Echocardiography in surgical assessment of mitral stenosis

Department of Cardiology, K.E.M.Hospital, Parel, Bombay-400012, India

Correspondence Address:
A S Vengsarkar
Department of Cardiology, K.E.M.Hospital, Parel, Bombay-400012
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Source of Support: None, Conflict of Interest: None

PMID: 529178

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Eighty patients of isolated mitral stenosis were studied echo­cardiographically to assess the nature of the stenosed mitral valve as this seems to have a significant bearing on the surgical treatment of mitral stenosis. Echocardiographic findings were compared with the surgical observations and correlated with the post-operative re­sults. EF slope did not have significant correlation with surgically estimated mitral valve area. Calcification was found in 21.25% patients. Leaflet echo thickness as a sign of mitral valve calcifica­tion has a high sensitivity (88%) though it lacks specificity (42%). A combined echo graphic sign of leaflet echo thickness of greater than 6 mm, and an opening amplitude of less than 16 mm was asso­ciated with an adverse outcome (mitral regurgitation) in 41.6% patients, compared to an incidence of 21% in the remaining.

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Online since 12th February '04
© 2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow