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doi:10.1159/000355751

Thyroid (2013) 23:93846
In myxomatous MVP the leaflets tend to present a higher cell density, especially at the level of the spongiosa, which shows a significantly increased thickness, varying also with the level of accumulation of myxoid ECM rich in glycosaminoglycans and with the degree of fibrosis in the atrialis layer (6)
