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Clinical Problems in Cardiopulmonary Disease |

Recurrent Mitral Stenosis*: Problems of Management

David M. Shavelle, MD; Catherine M. Otto, MD; Morton E. Tavel, MD, FCCP
Author and Funding Information

*From the Division of Cardiology, University of Washington, Seattle, WA.

Correspondence to: Catherine M. Otto, MD, Division of Cardiology, Box 356422, University of Washington, Seattle, WA 98195; e-mail: cmotto@u.washington.edu



Chest. 2001;119(3):958-960. doi:10.1378/chest.119.3.958
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Extract

A 44-year-old woman was evaluated for the primary complaint of the sensation of rapid and irregular beating of the heart, which was intensified by exertion. This sensation had been apparent for approximately 2 months and was associated with increased fatigability.

Her previous history disclosed that elsewhere, 21 years previously, she had undergone aortic valve replacement combined with mitral valvotomy, but the records of this event were unavailable. She had never previously noted a rapid or irregular heart rhythm, and the remainder of the history and review of systems was completely negative. Three weeks previously, her referring physician had initiated regular oral treatment with digoxin and warfarin.

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