Which of the following is not an indication of surgery in patients with mitral stenosis?
  1. Mitral valve area <1 cm2
  2. Infective endocarditis
  3. Worsening pulmonary hypertension
  4. Atrial fibrillation
Explanation
Answer- D - Atrial fibrillation is not an indication of surgery in patient of mitral stenosis. The indications of surgery in mitral stenosis are: MV area <1.0 cm2 with symptoms, NYHA class III or IV, worsening pulmonary hypertension, infective endocarditis, systemic embolization, unacceptable lifestyle limitations due to symptoms.
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