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Assessment of mitral valve anatomy according to the Wilkins score Grade Mobility Thickening Calcification Subvalvular Thickening 1 Highly mobile Leaflets near A single area of Minimal thickening valve with only normal in increased echo just below the mitral leaflet tips thickness (4-5 mm) brightness leaflets restricted 2 Leaflet mid and Midleaflets Scattered areas Thickening of chordal base portions normal, of brightness structures extending have normal considerable confined to to one-third of the mobility thickening of leaflet margins chordal length margins (5-8 mm) 3 Valve continues Thickening Brightness Thickening extended to move forward extending through extending into to distal third of the in diastole, the entire leaflet the mid-portions chords mainly from the (5-8mm) of the leaflets base 4 No or minimal Considerable Extensive Extensive thickening forward thickening of all brightness and shortening of all movement of the leaflet tissue (>8throughout much chordal structures leaflets in 10mm) of the leaflet extending down to diastole tissue the papillary muscles The total score is the sum of the four items and ranges between 4 and 16. Sumber: Wilkins GT, Weyman AE, Abascal VM, Block PC, and Palacios IF. Percutaneous balloon dilatation of the mitral valve: an analysis of echocardiographic variables related to outcome and the mechanism of dilatation. Br Heart J 1988 Oct; 60(4) 299-308. pmid:3190958. PubMed