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Critical mitral stenosis causing ischemic hepatic failure. Successful treatment by percutaneous balloon mitral
M B Harding1, J K Harrison, C J Davidson
1Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710.
Chest
|March 1, 1992
Abstract:
We report a 52-year-old patient with severe mitral stenosis who developed new onset atrial fibrillation, low output congestive heart failure and fulminant ischemic hepatic failure with subsequent severe coagulopathy. Percutaneous mitral valvotomy resulted in dramatic clinical improvement with complete resolution of liver function. This case illustrates the potential life-saving role for percutaneous balloon mitral valvotomy in treating critically ill patients who are unable to undergo thoracotomy due to coexisting medical illness.