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Echocardiographic Doppler studies of the mitral valve were performed on 50 pediatric patients to assess its normal anatomical characteristics, the velocity and ratio of the pressure gradient, and the peak and ratio of the early to late diastolic filling velocities. In addition, fractional shortening, left ventricular internal diameter, and volume were calculated from the derived data for each patient. Compared with the normal mitral valve, the mitral leaflets in all patients with various types of mitral valvular insufficiency demonstrated a pressure gradient and a reduced early to late filling velocity ratio and to a lesser degree the fractional shortening. Patients with severe mitral stenosis demonstrated no demonstrable pressure gradient or a reversed or biphasic flow pattern. Age, color Doppler flow pattern, the ratio of the early to late diastolic filling velocity, and left ventricular volume were useful in distinguishing normal from abnormal valves.Q:

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