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<bold>FIGURE 11-31. Chronic rheumatic valvulitis.</bold> A view of a surgically excised rheumatic mitral valve from the left atrium (<bold>A</bold>) and left ventricle (<bold>B</bold>) shows rigid, thickened, and fused leaflets with a narrow orifice, creating the characteristic "fish mouth" appearance of rheumatic mitral stenosis. Note that the tips of the papillary muscles <italic>(shown in B)</bold> are directly attached to the underside of the valve leaflets, reflecting marked shortening and fusion of the chordae...
<bold>FIGURE 11-31. Chronic rheumatic valvulitis.</bold> A view of a surgically excised rheumatic mitral valve from the left a...