what are the Recommendations for Intervention for Rheumatic MS
Referenced studies that support the recommendations are
summarized in Online Data Supplements 21 to 24.?
In severely symptomatic patients (NYHA class III or IV) with severe rheumatic MS (mitral valve area ?1.5 cm2, Stage D) who 1) are not candidates for PMBC, 2) have failed a previous PMBC, 3) require other cardiac procedures, or 4) do not have access to PMBC, mitral valve surgery (repair, commissurotomy, or valve replacement) is indicated.