A 73-year-old woman was diagnosed with severe mitral stenosis five years ago but had not been to a hospital since then. Last year, she was referred to our cardiology department due to dyspnea on exertion caused by heart failure.
An echocardiogram showed a mitral valve area of 0.37cm
2 and TR-PG of 86.2mmHg, and she was diagnosed with severe mitral stenosis. Because of the extremely small left ventricular diameter (LVDd 29.8mm, LVDs 20.9mm) we scheduled the patient for mitral valve replacement after performing PTMC and confirming that the left ventricular diameter had expanded.
Three months after PTMC, echocardiography confirmed left ventricular diameter enlargement (LVDd 43.7mm, LVDs 28.2mm, TR-PG). Six months after PTMC, the patient underwent mitral valve replacement with favorable results. We have reported the results in a literature review.
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