Mitral Stenosis: Surgical Treatment

Indications: -MVOA< 1.5cm2 (C+D stages)- hemodynamically significant MS -Severe symptomatic MS (D stage), NYHA III-IV when MVOA <1.5cm2 + percutaneous commissurotomy can't be performed + recurrent sys embolisation - Moderate MS: MVOA 1.6- 2.0 cm2 Intervention: -Percutaneous balloon commissurectomy (for younger + not heavily calcified valves) - Surgical commissurotomy ( for severe subvalvular disease, valvular calcification or LA thrombi) - Valve replacement (for severe morphological changes not suitable for balloon or surgical commissurotomy)