60-year-old woman reports dyspnea due to mild exertion.
What do you think about this mitral valve?
A) Mitral stenosis due to carcinoid syndrome
B) Presence of endocarditis
C) Rupture of the posterior leaflet
D) Rheumatic mitral stenosis
Right answer is: D) Rheumatic mitral stenosis
This is the classic example of rheumatic mitral stenosis. It’s very interesting to note the diastolic doming of anterior mitral leaflet in PSLA view, most specific echo sign for rheumatic mitral stenosis. In addition, chordae shortening and fusion are also present.
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