Chapter 13 The Cardiovascular System

43. 30 yo woman, 2nd trimester. History of mitral stenosis, now in AF. Systolic and mid-diastolic murmurs heard. Echo shows mild MR, MV valve area 0.6 cm2 without calcification, fusion at commisure, non-redundant leaflet, and a pliable valve with moderately severe pulmonary hypertension. Best mgt is: open heart MV replacement. balloon valvuloplasty ................
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