7th March 2024

A 36-year-old Caucasian woman is seen in the cardiology clinic.

A 36-year-old Caucasian woman is seen in the cardiology clinic. She has symptoms of progressive shortness of breath on exertion and is diagnosed with primary pulmonary hypertension (PPH). She had her first child 6 months ago. She has a past medical history of a previous miscarriage and depression, which is controlled with mirtazapine. On examination, she has a soft, blowing, decrescendo early diastolic murmur. What is the most likely underlying valvular disorder? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.