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ENTITIES |
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Notes: Flexible mitral stenosis appears as a "doming" of the leaflet opening during diastole in the long axis view. Similarly, in the 4 chamber apical view, the leaflets arch into a dome-shape during diastole. The Color Doppler Imaging shows a funneling of the diastolic flow through the narrowed orifice. M-mode diastolic patterns show the prolonged diastolic E-F slope. The normal mitral valve has a valve area in excess of 4 cm sq. Symptomatic mitral stenosis readily occurs when the valve area falls below 1.4 cm sq.
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