The youngest sister: ◦ Thickened AV valves ◦ Peak mitral inflow 9 mmHg mean of 4 mmHg ◦ Mild TR, moderate MR ◦ Mild PS gradient 36 mmHg ◦ Mild post stenotic dilatation of MPA ◦ Severe AS peak systolic gradient 95 mmHg mean of 47 mmHg ◦ Post stenotic dilatation of the As Ao ◦ Small PDA