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A 27-year-old woman was admitted to the hospital with dyspnea on exertion and with orthopnea. She was four months pregnant and otherwise healthy. Her history was unremarkable except for rheumatic fever during childhood. On examination, she had no signs of left-sided or right-sided heart failure. Her heart rate was regular, at 85 beats per minute. Cardiac auscultation suggested tight mitral stenosis, with a loud first heart sound, an early opening click, and a diastolic rumble. The diagnosis was confirmed by transthoracic echocardiography. The area of the mitral valve was calculated to be 1.1 cm2 (by planimetry and measurement of the . . . [Full Text of this Article] |
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