Pinhole Mitral Stenosis

• DOI: 10.1111/echo.12321
• Publication Date: 2013-08-10T10:42:54Z
• Authors: Sunil Kumar Srinivas; Ravindran Rajendran; Anand Subramanian; Prabhavathi Bhat; Dhanalakshmi Chan...; Cholenahally Nanj...
• Keywords: Male; Aortic Valve Insufficiency; Middle Aged; Tricuspid Valve Insufficiency; 3. Good health; Diagnosis, Differential; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Echocardiography; Humans; Mitral Valve Stenosis

Mini‐AbstractA 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 cm2. 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 cm2 is rarely encountered in clinical practice.