Conclusion the pathological shortening of mitral valve and sub-valvular apparatus caused by long-term rheumatic disease is the main cause of decreased left ventricular volume in mitral stenosis.

Conclusions PMMC is an efficient, safe and economic method to theraphy the mitral stenosis with bad valvular condition.

Reumatic heart disease ; Mitral stenosis; Pulmonary hypertension; Valve replacement.