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Medicine Valvular hea diseases f17fea4e

Criteria for mitral valvotomy includes all except?

A
Significant symptoms
B
Isolated mitral stenosis
C
Mobile non calcified valve
D
Left atrial thrombus
High-Yield Explanation
Mitral valvuloplasty -Dilatation of mitral annulus and will enhance the possibility of left atrial thrombus to embolise to systemic circulation. For critical MS- Balloon valvotomy is recommended to reduce PCWP and symptoms. In case of calcification of valve-Pliability of valves is reduced-Balloon Valvotomy is not recommended. For left atrial thrombus anti-coagulation using Warfarin is recommended.

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