Charles F. Wooley, M.D., F.A.C.P.; Nobuhisa Baba, M.D.; Joseph M. Ryan, M.D., F.A.C.P.; James W. Kilman, M.D.
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The paradox of arterial embolization in patients with mitral stenosis and a "clean" left atrium at surgery and the management of patients with these disorders are currently unresolved. A prospective study of the calcified mitral valve supports the concept that eruptive material from the stenotic valve causes arterial embolization in certain patients with calcific mitral stenosis. Eighteen valves removed at surgery were analyzed, with study of the pathology, X rays to define the extent and location of calcification, and scanning electron microscopy to study valve surface changes. Moderate and severe calcification differed from 11 control subjects and 13 noncalcific mitral
Wooley CF, Baba N, Ryan JM, et al. Thrombotic Calcific Mitral Stenosis—Eruptions, Craters, Whiskers and Emboli.. Ann Intern Med. 1973;78:822. doi: 10.7326/0003-4819-78-5-822_3
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Published: Ann Intern Med. 1973;78(5):822.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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