“…10,11 Pulmonary hypertension and right ventricular dysfunction in this patient secondary to the obstructed mitral outflow. 12 The obstruction of mitral flow that resembles mitral stenosis will elevate the pressure in the left atrium causing a backward transmission thus increasing the pulmonary venous pressure. A chronic increased of pulmonary venous pressure triggers a vasoconstriction response in the pulmonary vascular subsequently increase the pressure in the pulmonary arteries.…”