Echocardiogram in rheumatic mitral stenosis (post balloon mitral valvotomy)

Echocardiogram in rheumatic mitral stenosis (post balloon mitral valvotomy) showing the doming of the anterior mitral leaflet (AML) and paradoxical anterior movement of the posterior mitral leaflet (PML) in diastole, indicating partial commissural fusion. Left atrium (LA) is mildly dilated. RV: right ventricle; Ao: aorta; LV: left ventricle

Colour Doppler echocardiogram in parasternal long axis view showing mitral regurgitation (MR)

Mild mitral regurgitation is seen as a mosaic coloured jet into the left atrium in systole. The aortic valve is in the open position (systolic frame). Mitral valve is in the closed position.

Parasternal short axis view in mitral stenosis after balloon mitral valvotomy

Planimetry shows good valve area after a split of the commissures with BMV (balloon mitral valvotomy).

Apical four chamber (4C) view showing the MS jet

MS jet is seen as a mosaic colored jet in diastole, just beyond the mitral valve in the left ventricle. PV: pulmonary vein.

Doppler interrogation of mitral flow in mitral stenosis

Mitral inflow Doppler tracing in mitral stenosis showing fusion of E and W waves with absent diastasis due to the persistent gradient through out diastole. But the gradients are not high in this post BMV situation. Doppler line is such that the mild mitral regurgitation has not been picked up.

Colour Doppler echocardiogram video in rheumatic mitral stenosis, post BMV