Shivani Shrivastava
Shivani Shrivastava
Shivani Shrivastava
A 35 year old female, diagnosed as a case of severe Mitral DISCUSSION AND CONCLUSION
valve regurgitation and mitral valve stenosis.
Admitted with chief complaints of: Health education and counselling prior to the procedure is a key towards gaining co-operation from client and
• Anorexia since 4 days also helps in reducing anxiety of client and his/her family.
• Constipation since 5 days Contemporary recommendations restrict the use of surgical mitral valve replacement to pathologies when
• Bilateral limb and periorbital swelling since 4 days lasting repair is unlikely to be achieved, and several worldwide databases reflect a considerable decline in
Past medical history – Mitral regurgitation and stenosis and replacement procedures done compared to repairs.³
Mitral valve replacement has decreased hospital length of stay and increased 10-year survival. In the current
pulmonary hypertension
Past surgical history – None dataset, patients who are older than 60 or who require concurrent CABG do not significantly benefit from
Obtretical history – one normal vaginal delivery mitral valve repair versus replacement in terms of long-term survival.⁴
Personal history – Consumes mixed diet having normal bowel
and bladder pattern. REFERENCES
1. Otto CM, Verrier ED. Mitral regurgitation — what is best for my patient? New England Journal of Medicine.
ELECTROCARDIOGRAPHY MITRAL VALVE 2011;364(15):1462–3. doi:10.1056/nejme1102013
REPORT REGURGITATION 2. http://dx.doi.org/10.1016/j.ihj.2014.03.010
3. van der Merwe J, Casselman F. Mitral Valve Replacement-Current and Future Perspectives. Open J Cardiovasc Surg. 2017
Jul 13;9:1179065217719023. doi: 10.1177/1179065217719023. PMID: 28757798; PMCID: PMC5513524.
4. https://doi.org/10.1161/01.CIR.0000079169.15862.13
5. https://www.google.com/url?sa=i&url=https%3A%2F%2Fhealthjade.net%2Fmitral-valve-regurgitation%2F&psig=AOvVaw
0L4jOA2o3HlHsjF0mpsZBz&ust=1692896986618000&source=images&cd=vfe&opi=89978449&ved=0CBAQjRxqFwoTC
LCBv--i84ADFQAAAAAdAAAAABAE
6. https://www.google.com/url?sa=i&url=https%3A%2F%2Fmyheart.net%2Farticles%2Fmitral-valve-replacement-surgery%2F
&psig=AOvVaw3KWGxfM9p0Pvxy967Oaukk&ust=1692891343763000&source=images&cd=vfe&opi=89978449&ved=0
CBAQjRxqFwoTCICj_O6N84ADFQAAAAAdAAAAABAE
ACKNOWLEDGEMENT
The investigator acknowledges Ms. Snehal Jambhulkar, Ms. Priyanka Jagtap, Ms. Deepa Karmankar
and Mr. Dipak Sawarkar for their esteemed help along with the patient for her willingness to
participate in collecting data for the case study.