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IM dystrophiques (étiologie la + fréquente de fuite mitrale sévère) :o Dégénérescence myxoïde (maladie de Barlow) : excès de tissu = valves redondantes, épaissies = excès de mobilité avecprolapsus ; la traction exercée sur les cordages peut conduire à des ruptures - femmes jeunes,o Dégénérescence fibro-élastique (+ fréquent) : rupture de cordage (valve postérieure ++) ; pas d'anomalie de quantité de tissus ;homme âgéo Marfan, Ehler-DanlosBallonisa?on : bombement du feuillet valvulaire trop ample en systole dans l'OG, tandis que l'extrémité reste dans le plan de l'anneau • Prolapsus : si une par?e +/- étendue de l'extrémité passe en arrière

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