Restrictive Annuloplasty for Ischemic Mitral Regurgitation May Induce Functional Mitral Stenosis
Julien Magne, MSc,
Mario Sénéchal, MD, FRCPC,
Patrick Mathieu, MD, FRCPC,
Jean G. Dumesnil, MD, FRCPC, FACC,
François Dagenais, MD, FRCPC and
Philippe Pibarot, DVM, PhD, FACC, FAHA*
Laval Hospital Research Center/Québec Heart Institute, Faculty of Medicine, Laval University, Québec City, Québec, Canada.

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Figure 2 Individual Changes in Mitral Peak and Mean Gradients During Stress Echocardiography in Patients With Mitral Valve Annuloplasty
(A and B) Dobutamine stress echocardiographic (DSE) data. (C and D) Exercise stress echocardiographic (ESE) data.
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Figure 3 Systolic PAP Versus Mitral Peak Transvalvular Gradient
Orange circles = resting data; brown circles = dobutamine stress echocardiographic data; triangles = exercise stress echocardiographic data. PAP = pulmonary arterial pressure.
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Figure 5 6MWT Distance Versus Resting Mitral Peak Transvalvular Gradient
(A) Absolute 6MWT distance; (B) percentage of age and gender-predicted 6MWT distance. 6MWT = 6-min walk test.
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