High Doppler valve gradient is generally suggestive of valve thrombosis. However, it should be corroborated with the finding of restricted leaflet movement to confirm the diagnosis. In the present case, abnormally high gradient was not associated with limited leaflet movements or any valve thrombus.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078040PMC
http://dx.doi.org/10.4103/aca.ACA_238_17DOI Listing

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