Krishnamoorthy, KMDash, PKRadhakrishnan, SShrivastava, S2012-12-042012-12-042002AMERICAN JOURNAL OF CARDIOLOGY. 90; 10; 1170-+http://dx.doi.org/10.1016/S0002-9149(02)02793-5https://dspace.sctimst.ac.in/handle/123456789/983Patients with mitral stenosis and severe pulmonary artery hypertension, initially have a worse clinical and hemodynamic profile, more severe disease processes, and a higher restenosis rate. Despite the use of a larger balloon, a smaller valve area with higher gradients and residual pressures occurs. For optimal symptomatic and hemodynamic benefit, early balloon mitral valvuloplasty is indicated.Cardiology