Question 1

after succesful mitral prolapse repair how common is it to find mitral stenosis in these type of patients with annoloplasty ring over a certain time?

Accepted Answer

Rare: It's rare but it does happen. As always, the devil's in the details. A minor amount of stenosis is well tolerated but as the mitral valve area diminishes, the likelihood and severity of symptoms (shortness of breath) increases. A sudden change in MV area suggests a clot and should be treated with anticoagulation. Good luck!

Question 2

after successful mitral prolapse repair some years on
what are specific findings in median valvular readings in  mmhg results in mitral stenosis?

Accepted Answer

See below: Mean transvalvular gradient of &lt;5 is normal. &lt;10 is mild. &gt;10 is likely to cause symptoms.

Question 3

what is mitral stenosis?

Accepted Answer

Narrowing : Mitral stenosis is a narrowing of the valve that controls the flow of blood from the left atrium to the left ventricle of the heart. This can have many causes and, depending upon the severity of the stenosis, may or may not cause symptoms. This must be followed, because the degree of stenosis can increase over time and require replacement.

Question 4

is mitral stenosis inherited?

Accepted Answer

Not usually: Most mitral stenosis is not inherited and is a result of rheumatic fever but rarely it is congenital, that is you are born with it. One form of congenital mitral stenosis includes an atrial septal defect and is called lutembacher's syndrome. It was described by rene lutembacher.

Question 5

what is mild mitral stenosis?

Accepted Answer

Mitral valve: The mitral valve has to open properly to let blood flow into the left ventricle from the atrium. If it doesn't, we call this stenosis. It has to close to keep the blood flowing toward the body, if it doesn't we call this regurgitation or insufficiency. Either or both problems can exist with the valve if its abnormal. Insufficiency is more common.

Question 6

how do you treat mitral stenosis?

Accepted Answer

Meds, surgery: A good article on mitral valve stenosis is on mayoclinic.Com.
Treatments are medications: 'water pills' (loop diuretics), blood pressure pills (beta blockers or calcium channel blockers) and possibly 'blood thinners'.  You may have to treat a heart rhythm called 'atrial fibrillation'. 2 procedures are done to repair mitral valve stenosis :valvotomy or valve replacement. The cardiologist will help.

Question 7

can one die from mitral stenosis?

Accepted Answer

Yes: Absolutely, although this is rare in the United States.  Causes of death would include stroke (secondary to associated atrial fibrillation) or end-stage congestive heart failure.

Question 8

what occurs during mitral stenosis?

Accepted Answer

Shortness of breath: In mitral stenosis, blood returning from the lungs is unable to easily pass through the mitral valve to fill the left ventricle.  Blood backs up behind the narrowed of mitral valve causing pulmonary congestion.  This results in pulmonary hypertension and shortness of breath.

Question 9

what are the causes mitral stenosis ?

Accepted Answer

Rheumaic fever: Usually repeated strep infections as a child lead to rheumatic fever which can scar the heart and make the valve thickened and hard to open.

Question 10

what does mitral stenosis results in?

Accepted Answer

Depends on severity: Progressively restricted opening of the mitral valve, measured by serial echocardiography, results in higher pressures in the lung circulation and reduced cardiac output when exercising.  Worsening shortness of breath and cardiac arrhythmias may be the result.  There are evidence based guidelines to help your doctors decide when to intervene to improve quality and length of life.

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Doctor answers about:

Mitral stenosis after mitral repair

A member asked:

After succesful mitral prolapse repair how common is it to find mitral stenosis in these type of patients with annoloplasty ring over a certain time?

A member asked:

After successful mitral prolapse repair some years on what are specific findings in median valvular readings in mmhg results in mitral stenosis?

A member asked:

What is mitral stenosis?

A member asked:

Is mitral stenosis inherited?

A member asked:

What is mild mitral stenosis?

A member asked:

How do you treat mitral stenosis?

A member asked:

Can one die from mitral stenosis?

A member asked:

What occurs during mitral stenosis?

A member asked:

What are the causes mitral stenosis ?

A member asked:

What does mitral stenosis results in?

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