Case 373

Medical History

A 61-year-old male patient, diagnosed as having acute rheumatic heart disease during childhood, initiated progressive exertional dyspnea, requiring hospitalization due to decompensated heart failure. Undergoing treatment with oral anticoagulants. Transthoracic echocardiogram demonstrated severe mitral stenosis, mitral valve area of 0,5cm², mean gradient of 12mmHg and pulmonary hypertension. Block score of 13 points.

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