[HSF] rheumatic mitral disease

[Nasser F. Abou'Seada]

Good Case Dear erdinc ,,,
I can add very little to what Prasanna has masterly outlined ..... but sure
it seems like a piece of cake for a repair of a rheumatic? valve (I have no
doubt from your description). I would wonder why she is presenting late in
age with rheumatic affection? .. mostly she wuld have a pliable good valve .
The size of the LA should be taken care of, I would consider a MAZE
mandatory.
Apparenly more regurgitant valve with fixed PML, should be a nice procedure.

Do you  have the echo ? what are the echo parameters ?

NFA

On 6/7/07, erdinç naseri <enaseri at hotmail.com.tr> wrote:
>
>
> Dear all,
>
> opinion requested about the following case: 57 y/o  diabetic
> female,history of mitral valve dis.,NYHA class III,in sinus rhythmwith mild
> diastolic rumble and early systoliic murmur on auscultation.Echo: mitral
> valve thickening,posterior leaflet severely restricted but anterior one has
> good mobility,MVA 1.67 cm2,Mitral gradient peak 20 mmHg -mean 9
> mmHg,eccenteric moderate to severe  mitral regurg jet from posteromedial
> commissure,LA 6.5 cm.
> Planning to do coronary angio followed by mitral repair +/- CABG.
> Although my experience of mitral valve repair has been in ischemic mitral
> insufficiency and rarely myxomatous degeneration from echo it seems an easy
> task.
> any comments
> erdinc
>
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-- 
Nasser  F.  Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC