ernesto m gurro 29 years old of age150 pounds and this the result of 2 d echo conclusionvalvular heart disease-rheumatic,mitralstenoseswith mitral valve area of0.8cm by pressure half timeand 1.4cm2by planimitry with pressure of gradient of 22mmhg;mild mitral regurgitation,aotic regurgitation1+, mild tricuspidregurgition,normal leafventecular dimentionwith adequate contractility and systolic function,dilated left atrium,normal pulmonary arterial pressurewith pulmonic regurgitation.