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mitral valve repair

my dad has rheumatic heart disease.he is 48.his mitral valve size was 0.9cm square,but after mitral valvoplasty ,(ballon)size became 1.6 cm sqaure,but after one year the echo test shows his size is 1.5 cm sqaure,does the size will decrease like this only,this fast?or iits just that the differnt echo machines shows differnt size?plz tell me what to do,im very scared,can mitral valvoplasty can be done 2nd time?
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367994 tn?1304953593

QUOTE:iits just that the differnt echo machines shows differnt size?plz tell me what to do,im very scared,can mitral valvoplasty can be done 2nd time?

>>>>There are different procedures that estimate mitral valve stenosis (narrow opening). It can be done with an echo that helps determine volume to be received from the lungs and the amount that is pumped into circulation.  Another test can be done with a cath that measures gradient pressure across the mitral valve.  An abnormal increase in pressure would indicate the valve has a narrow opening. When severe the pressure is transmitted to the pulmonary vascular and that would cause pulmonary hypertension. Those tests would help determine the severity.  

The treatment options for mitral stenosis include medical management, mitral valve replacement by surgery, and percutaneous mitral valvuloplasty by balloon catheter. The valvuloplasty can be done several times, but if the stenosis redevelops may indicate the need for valve replacement.

There is a scoring system that is taken in consideration to help determine who would benefit and who may need replacement of the valve. Criteria: leaflet mobility (flaps that close over the valve opening), leaflet thickening, subvalvar thickening, and calcification. etc. Treatment also focuses on concomitant conditions often seen in mitral stenosis: and treatment is not necessary in asymptomatic patients.

Your father's doctor can help provide information if your father is still a good candidate for vulvoplasty.

Hope this provides some insight into what is involved and help your father with a doctor's consulation decide what is appropriate.  Sometimes a valve repair may be an option, and a complete replacement is unnecessary. Take care,
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