The hemodynamic consequence of this valvular dysfunction is mitral valve regurgitation associated with varying degrees of mitral stenosis.Type IIIa dysfunction of the posterior leaflet associated with limited prolapse of the anterior leaflet (mostly A2 segment) is very characteristic of rheumatic mitral valve disease. The presence of associated valvular lesions involving the aortic and tricuspid valves is strongly in favor of rheumatic etiology of valvular heart disease.

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