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Updated: May 29, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Severe rheumatic mitral stenosis: a 21st century medusa
Pedro Carrilho-Ferreira1, Monica Mendes Pedro, Manuel Gato Varela
1Department of Cardiology, Santa Maria University Hospital, Centro Hospitalar Lisboa Norte, Portugal. pcarrilhoferreira@gmail.com
Abstract:
Although the prevalence of rheumatic fever has greatly decreased in developed countries, rheumatic mitral stenosis still causes significant morbidity and mortality. Symptomatic patients have a poor prognosis, with a 0 to 15% 10-year survival rate, particularly if percutaneous or surgical intervention are contraindicated or considered high risk. We present a case of severe rheumatic mitral stenosis with an evolution over 4 decades, in which exceptional venous distention has established.
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