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###1: Mitral Valve Orifice Area, Cardiac Catheterization

Published: August 9, 2026Updated: August 16, 2026

###3: This test estimates the effective opening area of the mitral valve using pressure and blood-flow measurements obtained during cardiac catheterization. It helps evaluate how much blood can pass from the left atrium into the left ventricle.

Quick summary

["###4: A smaller-than-expected mitral valve orifice area can indicate significant narrowing, or mitral valve stenosis."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
80231-4
Short code
Orifice area MV Cardiac Cath
Synonyms
Orifice area MV Cardiac Cath
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
5
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
cardiac-catheterization
CPT
82378
SNOMED
394995008
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

###5: What the test measures

###6: Mitral valve orifice area is a calculated measurement of the valve’s functional opening. Cardiac catheterization provides the pressure and flow data used to estimate this area.

###7: How the test is performed

###8: During cardiac catheterization, thin catheters are guided through a blood vessel to the heart. Measurements are taken in the left atrium and left ventricle, and the results may be used to calculate the mitral valve orifice area.

###9: Why it is done

###10: The measurement may be used to assess suspected mitral valve stenosis, confirm its severity, or help plan treatment. It is generally considered when echocardiography or other noninvasive imaging does not provide enough information.

###11: How to understand the result

###11: A smaller orifice area generally suggests more severe narrowing of the mitral valve, but interpretation also depends on symptoms, heart function, blood-flow conditions, and the method used to calculate the value. The result should be reviewed with the clinician performing the procedure.

Reference range

Non-smokers: <2.5 ng/mL; Smokers: <5.0 ng/mLN/A

Specimen: serum

No special preparation required. For PSA, avoid sexual activity for 24-48 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

###13: Clinical significance: Mitral valve orifice area helps determine whether narrowed mitral valve blood flow is likely to cause symptoms such as shortness of breath, fatigue, or fluid retention. It may influence decisions about medications, whether repeat imaging is needed, and whether valve procedures should be considered.

Short name

###2: Mitral valve orifice area

Frequently asked questions

###14: What does a low mitral valve orifice area mean?
###15: A low value usually indicates narrowing of the mitral valve, known as mitral stenosis. The clinical importance depends on the calculated value, the circumstances of the procedure, and the presence of symptoms.
###16: Is cardiac catheterization risky?
###16: Cardiac catheterization is invasive and carries risks, including bleeding, infection, blood-vessel injury, allergic reactions to contrast, and complications affecting the heart or kidneys. The procedural team will assess individual risks before performing the test.
###18: How is this different from a mitral valve area measured by echocardiography?
###19: Echocardiography estimates valve area using ultrasound images and blood-flow measurements, while cardiac catheterization calculates it from invasive pressure and flow data. The approaches can differ, so results should be interpreted together when making treatment decisions.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy