Fish-mouth configuration of Mitral valve

Fish-mouth configuration of Mitral valve in Echocardiogram seen in

[A] Amylodosis
[B] Malignant Carcinoid
[C] Rheumatic mitral stenosis
[D] Congenital mitral stenosis

ANSWER

[C] Rheumatic mitral stenosis

Rheumatic mitral disease

Fish-mouth configuration of Mitral valve
Commissural fusion
chordal thickening and fusion, and leaflet thickening
Fish-mouth configuration -calcification that develop in patients with rheumatic mitral stenosis result in narrowing of the mitral orifice, classically with a fish-mouth configuration
Commissural fusion results in restricted diastolic excursion of the tips of the leaflets, with relatively preserved mobility of the belly of the leaflet, particularly in early or milder forms of the disease
Anterior leaflet doming
Posterior leaflet is shorter and tends to become immobilized early in the rheumatic process

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Image Question-49 – Medicine Question Bank

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