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🌟Mitral subvalvar involvement in rheumatic MS 👀TEE shows that obstruction may occur in 2 levels: 🌟valvular level (comissural fusion) 🌟subvalvular level (chordal fusion / thickening) 🚨A predictor of worse results in balloon MV valvuloplasty and ⬆️risk of complications #echofirst Excellent comments by Edgar Argulian Chittur Sivaram MD MACP MACC...

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