Abstract
Rheumatic heart disease is still very common in the developing world.Nepal is no exception.lack of health insurance for most people and monitoring of the PT/INR in a long run pose a significant financial challenge to an ordinary Nepalese family and is associated with significant lifestyle issues of the patients. This article presents the surgical issue in the management of rheumatic heart disease in Nepal.Nepalese Heart Journal 2016; 13(2): 11-14
Highlights
Rheumatic heart disease (RHD) is still very common in the developing world
Open mitral commissurotomy (OMC) is frequently performed as part of combined procedures when severe mitral stenosisis present along with a condition that independently requires surgical intervention.They include aortic valve procedures, closure of atrial septal defect, or repair of severe tricuspid regurgitation among others
The early results of Closed mitral commissurotomy (CMC) and an isolated OMC procedure were excellent.Operative mortality for a CMC varies according to the preoperative functional class
Summary
Rheumatic heart disease (RHD) is still very common in the developing world. Nepal is no exception. The cumulative number of patients who have had heart valves replaced in Nepal exceeds 5000.There are significant social and economic issues related to RHD and surgical treatment of it.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
