Figure
5. Management strategy for patients
with mitral stenosis and moderate to severe symptoms. Abbreviations:
CXR = chest x-ray, LA = left atrial, MV = mitral valve,
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. It is controversial as to
which patients with less favorable valve morphology should
undergo PMBV rather than mitral valve surgery (see text).
©
1998 American College of Cardiology and American Heart
Association, Inc.
Published by Elsevier
Science Inc.