Echocardiography Techniques III Exam 1 Practice

Which of the following is NOT part of the Wilkins scoring criteria for MV balloon valvuloplasty?

Leaflet mobility Aortic valve calcification Subvalvular thickening Leaflet thickness

Correct Answer:

Aortic valve calcification

Explanation:

The Wilkins score assesses four aspects of the mitral valve itself to predict how likely balloon valvuloplasty will be successful: leaflet mobility, leaflet thickness, subvalvular thickening, and calcification of the mitral valve. Each of these domains is scored to reflect how favorable the valve anatomy is for dilation. Aortic valve calcification does not belong to this mitral-valve–specific scoring system, so it isn’t part of the Wilkins criteria. This is why the option describing aortic valve calcification is the one that does not fit. The other items—leaflet mobility, leaflet thickness, and subvalvular thickening—are all elements that are actually scored in Wilkins, helping gauge the valve’s suitability for the procedure.

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