PMC6392604_01
Ultrasound scan showing regurgitant blood flow due to mitral valve insufficiency
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fig1
Echocardioscopy revealed fibrotic thickening of mitral valve (MV) cusps with no signs of calcification, immobile posterior cusp, doming of anterior cusp, symmetrical fusion of both MV commissures, MV opening in the centre of the valve, MV area 0.9 cm2, regurgitant blood flow due to MV insufficiency (Fig. 1).
Echocardioscopic view of the dilated left atrium
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fig2
Conclusions: fibrotic MV changes, severe MV stenosis, Wilkins score 4, grade II MV insufficiency, left atrial dilation (Fig. 2), pulmonary arterial hypertension.
Chest radiograph demonstrating pulmonary oedema and pleural effusions
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fig3
Pulmonary oedema and pleural effusions were diagnosed after performing chest radiography (Fig. 3).