Mitral valve replacement

Question 1

Presentation

Answer 1

Prosthetic click, loudest over the first heart sound, midline sternotomy scar
Assess for signs of pulmonary hypertension
Assess valve functio

Question 2

Indications

Answer 2

MITRAL STENOSIS
- signs of pulmonary congestion
- pulmonary hypertension
- haemoptysis
-recurrent thromboembolic episodes
MITRAL REGURGE
- LV dysfunction
- EF <60%
- LV end systolic diameter >45mm