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The heart is a pump consisting of 4 chambers:2 atria and 2 ventricles and 4 valves one of them is mitral valve which is located betweenthe left atrium and the left ventricle and prevents the backward flow of blood.Ithas several unique features: Mitral annulus, two leaflets, the chordae tendineaeand papillary muscles. The mitral valve may become stenotic or may regurgitate. Regurgitation(or leakage of the valve): When the valve (s) do not close completely. Stenosis (or narrowing of the valve): When the valve (s) opening becomes narrowed. Mitral stenosis is categorized as mild, moderate or severe it is typically causedby (Rheumatic fever, A congenital heart, Calcium deposits .....) and it caused severalsymptoms such as: dyspnea, hemoptysis, fatigue, Chest pain and others Where as the Signs and symptoms of mitral valve regurgitation, can include: Abnormal heart sound, Shortness of breath, Heart palpitations, Fatigue, edma, Coughing.