Mitral
stenosis
(
MS
)
is
characterized
by
obstruction
to
left
ventricular
____________________
at
the
level
of
mitral
valve
due
to
structural
____________________
of
the
mitral
valve
apparatus
.
The
most
common
____________________
of
mitral
stenosis
is
rheumatic
fever
.
The
association
of
atrial
septal
defect
with
rheumatic
mitral
stenosis
is
____________________
Lutembacher
syndrome
.
Stenosis
of
the
mitral
valve
typically
occurs
decades
____________________
the
episode
of
acute
rheumatic
carditis
.
Acute
insult
____________________
to
formation
of
multiple
inflammatory
foci
(
Aschoff
bodies
,
perivascular
mononuclear
infiltrate
)
in
the
endocardium
and
____________________
.
Small
vegetations
along
the
border
of
the
valves
may
also
be
____________________
.
With
time
,
the
valve
apparatus
becomes
thickened
,
calcified
,
and
contracted
,
and
commissural
adhesion
occurs
,
ultimately
resulting
in
stenosis
.
Whether
the
____________________
of
valve
damage
is
due
to
hemodynamic
injury
of
the
already
____________________
valve
apparatus
or
to
the
chronic
inflammatory
nature
of
the
____________________
process
is
unclear
.