Mitral Valvuloplasty Score

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Clinical Use

Predict procedural outcome in patients  undergoing mitral valvuloplasty for mitral stenosis

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Mitral Valvuloplasty Scoring is based on the following variables:
Score Findings
Leaflet Mobility
1 Highly mobile
2 Reduced mobility
3 Basal leaflet motion only
4 Minimal motion
Valve thickening
1 Near normal (4-5 mm)
2 Thickened tips
3 Entire leaflet thickened (5-8 mm)
4 Marked leaflet thickening (>8-10 mm)
1 Single area of brightness
2 Scattered areas at leaflet margins
3 Brightness extends to mid leaflets
4 Extensive leaflet brightness
Subvalvular thickening
1 Minimal chordal thickening
2 Chordal thickening up to 1/3
3 Distal third of chordae thickening
4 Extensive thickening to pap muscle



Mitral Valvuloplasty Score Leaflet Mobility Valve Thickening Calcification Subvalvular Thickening


The outcome based on mitral valvuloplasty score
Mitral valvuloplasty score
Poor Outcome ≥8
Good Outcome <8


1. Baumgartner H, et al. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. J Am Soc Echocardiogr. 2009 Jan;22(1):14, 17. Full text


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Developer: Sirikarn Napan, MD, FACC