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Pinhole Mitral Stenosis
Author(s) -
Srinivas Sunil Kumar,
Rajendran Ravindran,
Subramanian Anand,
Bhat Prabhavathi,
Chandrasekaran Dhanalakshmi,
Manjunath Cholenahally Nanjappa
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12321
Subject(s) - medicine , cardiology , stenosis , mitral valve , tricuspid valve , tricuspid stenosis , mitral valve replacement
Mini‐Abstract A 46‐year‐old male with known rheumatic heart disease presented in cardiac arrest. He was successfully resuscitated. Two‐dimensional echocardiography showed severe calcific rheumatic mitral stenosis with pinhole opening of the valve. The mitral valve area in planimetry was 0.14 cm 2 . Three‐dimensional echocardiography confirmed the severity of the stenosis. Patient underwent successful mitral valve replacement with tricuspid valve annuloplasty, Left atrial size reduction, and maze procedure on emergency basis. A mitral valve area of 0.14 cm 2 is rarely encountered in clinical practice.