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Critical Mitral Stenosis: A Blessing in Disguise
Santosh Kumar Sinha, Mukesh Jitendra Jha, Puneet Aggarwal, Vikas Mishra
Department of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, India.
Corresponding Author:
Dr Santosh Kumar Sinha
Email: fionasan@rediffmail.com
Received:
01-MAY-2020
Accepted:
21-AUG-2020
Published Online:
30-DEC-2020
DOI:
http://dx.doi.org/10.17659/01.2020.0072
Abstract
Background
: Mitral stenosis (MS), accounts for 25% of rheumatic heart disease. Systemic arterial embolization is serious, sometimes fatal, complication of MS. Around 20% of patients with rheumatic MS may encounter systemic embolism during course of disease.
Case Report
: A 24-year-old male with worsening dyspnea was diagnosed with moderate MS with mitral valve area (MVA) of 1.4 cm
2
and atrial fibrillation (AF) six years back. He was advised warfarin to maintain INR between 2 to 3. He had visited outdoor department 2 months back after a lost to follow up. His INR was 1.2 suggesting inadequate warfarinization. His MS had progressed as echocardiogram revealed critical MS (MVA= 0.5 cm
2
). There was huge mobile, ping-pong thrombus inside left atrium which failed to embolize because of critical MS which turned out to be blessing in disguise for him. He was advised open mitral valvotomy.
Conclusion
: Effective anticoagulation is very important for patients with MS having AF.
Keywords :
Anticoagulants, Atrial Fibrillation; Embolism, Mitral Valve Stenosis, Rheumatic Heart Disease.
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© 2011 Journal of Case Reports
Last updated on Oct 11, 2025