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| ARTICLE |
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| Year : 1979 | Volume
: 25
| Issue : 4 | Page : 201-206 |
Echocardiography in surgical assessment of mitral stenosis
AS Vengsarkar, DR Kulkarni, DS Parikh
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
India
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 529178 
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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