Advancing the Management of Valvular Heart Disease


When it comes to conversations with patients about valvular heart disease, I find these discussions expanding as the options for the treatment of valvular disorders increase rapidly for both physicians and patients. Mitral commissurotomy became popular in the 1960s for selected patients whose lesion was primarily mitral stenosis with little regurgitation and the chordal apparatus was still intact. The advent of heart bypass opened a new world of heart valve surgery, where surgeons could replace the aortic, mitral or tricuspid valve and relieve the severe volume or pressure overload that was common before this surgery.

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