Criteria for mitral valvotomy includes all except?: (A) Significant symptoms, (B) Isolated mitral stenosis, (C) Mobile non calcified valve, (D) Left atrial thrombus
Answer is D. Mitral valvuloplasty -Dilatation of mitral annulus and will enhance the possibility of left atrial thrombus to embolise to systemic circulation. For critical MS- Balloon valvotomy is recommended to reduce PCWP and symptoms. In case of calcification of valve-Pliability of valves is reduced-Balloon Valvotomy is not recommended. For left atrial thrombus anti-coagulation using Warfarin is recommended.