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Previous Volume 331:1014-1015 October 13, 1994 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Mitral stenosis is a progressive disease that is usually fatal unless mechanical intervention enlarges the mitral-valve orifice enough to permit adequate cardiac output at a tolerable left atrial pressure. Although some medical therapies, including the use of diuretic and beta-adrenergic-antagonist drugs (and digoxin, if the patient has atrial fibrillation), offer symptomatic relief, they do not seem to enhance survival. The article by Reyes and colleagues in this issue of the Journal¹ suggests that the appropriate method of producing mechanical relief of mitral stenosis has come full circle -- from closed surgical commissurotomy to open surgical commissurotomy to closed balloon commissurotomy.

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References

Related Letters:

Treatment of Mitral Stenosis
Treasure T., Chandra M., Sogade O. F., Alhaddad I. A., Conrad A. R., Dalvi B., Cheng T. O., Turi Z. G., Raju B. S., Carabello B. A., Crawford F. A.
Extract | Full Text  
N Engl J Med 1995; 332:748-750, Mar 16, 1995. Correspondence

This article has been cited by other articles:

• Thibault, G. E. (1995). Studying the Classics. NEJM 333: 648-652 [Full Text]  
• Treasure, T., Chandra, M., Sogade, O. F., Alhaddad, I. A., Conrad, A. R., Dalvi, B., Cheng, T. O., Turi, Z. G., Raju, B. S., Carabello, B. A., Crawford, F. A. (1995). Treatment of Mitral Stenosis. NEJM 332: 748-750 [Full Text]