“Hockey-stick” appearance of Anterior mitral leaflet

“Hockey-stick” appearance of Anterior mitral leaflet is typically seen in

[A] Rheumatic Mitral stenosis
[B] Congenital Miral stenosis
[C] Dedenerative Mitral stenosis
[D] Malignant Carcinoid



“Hockey-stick” appearance of Anterior mitral leaflet


“Hockey-stick” appearance of Anterior mitral leaflet

“Hockey-stick” appearance of Anterior mitral leaflet

Rheumatic MS – Anterior mitral leaflet (AML) shows diastolic doming or hockey-stick shape. And the posterior mitral leaflet (PML) has restricted motion or is totally immobile.

Changes associated with rheumatic mitral disease

  1. “Fish-mouth” appearance of the MV orifice,
  2. Commissural fusion, leaflet thickening
  3. Shortening and fusion of chordae tendinae
  4. These changes lead to the subsequent hockey-stick appearance of the anterior leaflet on echocardiography.

Why there is a diastolic doming or hockey-stick shape of AML?

  • In case of Rheumatic Mitral stenosis there is reduced mobility of the valve leaflets.
  • This doming is due to the reduced mobility of the valve tips compared to the base of the leaflets.



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