The valvitis constitutes the phenotypic feature of rheumatic carditis, hence echocardiographic documentation of valvar and subvalvar
changes can be of significant help (10).
Stenosis was further classified as subvalvar
, transvalvar and supravalvar (at the level of distal anastamosis).
Functional obstruction of the left ventricle; acquired aortic subvalvar
At surgery, there was an important destruction of the valvar and subvalvar
tissue and the mitral valve was replaced by a biological prosthesis.
Congenital TV anomalies are found as spectrums of disease in which both the leaflets and subvalvar
apparatus are often involved (1).