To assess the particular features of valvular heart disease (VHD) in patients (pts) visited our outpatient clinic.

We studied prospectively since December 2006 clinical and echo-cardiograms data of 1173 pts mean age 48±11.9years. Among them, mitral stenosis (MS):286 pts 201female, aged 16-84, mean 44±12yearsOrganic Mitral regurgitation: 299 pts 143F, aged 07-98, mean 54±18 years. Aortic stenosis: 91pts 39F, aged 27-82, mean 60±14.23 years, Aortic regurgitation: 80pts 24F aged 11-97, mean 57±16years. Mixed valve disease: 417pts 243F aged 11-84, mean 48±18years.

Regarding MS from the assessment of mitral anatomy according to the Cormier score only 20% of the pts were in the group 1 and underwent percutaneous mitral valve commissurotomy (PMC) whereas 72% of them had replacement with prosthetic valve. In MR, only 12 patients were on type 2 of Carpentier, 76% of the patients underwent replacement with prosthetic valve. Despite low risk score for intervention in 68% of the pts, almost half of them were not operated.

Despite the disappearance of rheumatic fever, the valvular sequelae are the predominant etiology of valvulopathie. This explains the high rate of mechanical prosthesis as compared with repair and percutaneous mitral commissurotomy.