A 32-year-old woman from rural Bihar with a history of acute rheumatic fever (ARF) at age 10 presents with NYHA class III dyspnoea, haemoptysis, and atrial fibrillation. Transthoracic echocardiography shows a mitral valve area of 0.9 cm² with a mean transmitral gradient of 14 mmHg. At surgical pathology, the excised valve demonstrates the characteristic appearance shown in the diagram. The structure marked **A** represents the fish-mouth shaped stenotic mitral orifice. Which of the following best explains the pathophysiological consequence of this morphological change in the context of her clinical presentation?
Ready to test yourself?
Test your Pathology knowledge with AI-powered MCQs and detailed explanations — no signup required to try.
Sign up free and practice all 1 Mitral Stenosis MCQs with AI-powered explanations tailored to your performance.
Create Free Account