American College of Cardiology

BONOW ET AL., ACC/AHA TASK FORCE REPORT
JACC Vol. 32, No. 5, November 1998:1486-1588

Figure 3.   Management strategy for patients with mitral stenosis. Abbreviations: CXR = chest x-ray, LA = left atrial, MVA = mitral valve area, PMBV = percutaneous mitral balloon valvotomy, PAP = pulmonary artery pressure, PAWP = pulmonary artery wedge pressure. *The committee recognizes that there may be variability in the measurement of MVA and that the mean transmitral gradient, PAWP, and PAP should also be taken into consideration. †There is controversy as to whether patients with severe MS (MVA <1.0 cm²) and severe pulmonary hypertension (PAP >60-80 mm Hg) should undergo MVR to prevent right ventricular failure. ††Assuming no other cause for pulmonary hypertension is present.

 

© 1998 American College of Cardiology and American Heart Association, Inc.
Published by Elsevier Science Inc.