Mitral stenosis in 2019: changing approaches for changing times

Figures & data

Figure 1. Increasing transmitral gradients (a-c) and tricuspid peak velocity (related directly to PA systolic pressure) (B & D) during exercise stress echocardiography.

Figure 2. (a) 2 and 3D transoesophageal echocardiography demonstrating extensive severe annular and leaflet calcification resulting in degenerative MS. (b) Circumferential annular calcification demonstrated by multislice computerised tomography.

Figure 3. Proposed algorithm for the evaluation and treatment of patients presenting with symptomatic mitral stenosis in circumstances not covered by ESC/EACTS guideline [1].

Baumgartner H, Falk V, Bax JJ, et al. ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 2017;38(36):2739–2791.

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