Posterior mitral leaflet motion in mitral stenosis.

Abstract:

:A reduced rate of diastolic closure of the anterior mitral leaflet has been shown to occur in mitral stenosis, primary pulmonary hypertension, and in cases with reduced left ventricular compliance. Posterior notion of the posterior mitral leaflet in diastole has been the distinguishing feature to rule out the diagnosis of mitral stenosis. We have analyzed echocardiograms of 167 patients with mitral stenosis and have found 16 cases where the posterior mitral leaflet moved posteriorly, that is, in an opposite direction from the anterior mitral leaflet. Two other features were found that were helpful in establishing the diagnosis of mitral stenosis in these atypical cases, namely, thickening of the mitral leaflets and reduction or absence of the artrial wave.

journal_name

Circulation

journal_title

Circulation

authors

Levisman JA,Abbasi AS,Pearce ML

doi

10.1161/01.cir.51.3.511

subject

Has Abstract

pub_date

1975-03-01 00:00:00

pages

511-4

issue

3

eissn

0009-7322

issn

1524-4539

journal_volume

51

pub_type

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