Wilkins Score For Mitral Stenosis (Last Updated - 2/3/2024) Leaflet Mobility: Normal Restriction only of the leaflet tips Middle portion and base of leaflets have reduced mobility Leaflets move forward in diastole mainly at the base No or minimal forward movement of the leaflets in diastole Valvular Thickening: Normal Near Normal (4-5 mm) Mid-leaflet thickening, marked thickening of the margins Thickeing extending through the entire leaflets (5-8 mm) Marked thickening of all leaflet tissue (> 8-10 mm) Valvular Calcification: Normal Single area of increased echo brightness Scattered areas of brightness confined to leaflet margins Brightness etending into the mid-portion of leaflets Extensive brightness throught most of the leaflet tissue Sub-Valvular Thickening: Normal Minimal thickening of chordal structures just below the valve Thickening of chordae extending up to one-third of chordal length Thickening extending to the distal third of the chordae Extensive thickening and shortening of all chordae extending dow to the papillary muscles Score: Can predict the procedural success for mitral valvuloplasty based on valve structure A score of <= 8 predicts a more favorable procedural, short, intermediate and long-term outcome (including survival) ============================================== References: