Mitral Stenosis

  • Luc PierardEmail author


Mitral stenosis (MS) induces slow filling of the left ventricle (LV) from the left atrium (LA). MS affects more often women than men. The principal cause is the consequence of rheumatic fever which prevalence has largely decreased in the Western countries but remains frequent in developing countries, in Africa, Asia and India. The normal surface area is 4–6 cm2. MS is moderate when the area is <1.5 cm2 and severe in the presence of an area <1 cm2. The development of percutaneous mitral commissurotomy has dramatically improved the management of severe, symptomatic MS.


Mitral stenosis Commissurotomy Rheumatic fever 


  1. 1.
    Baumgartner H, Hung J, Bermejo J, et al. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. Eur J Echocardiogr. 2009;10:1–25.CrossRefGoogle Scholar
  2. 2.
    Vahanian A, Baumgartner H, Bax J et al. Guidelines on the management of valvular heart disease (version 2012): the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2012;(19):2451–96.Google Scholar
  3. 3.
    Bonow RO, Carabello BA, Chatterjee K, et al. 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2008;52:e1–142.CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.University of LiègeLiègeBelgium

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