What is the relationship between mitral facies and mitral stenosis?

Mitral stenosis: Mitral stenosis is narrowing of the mitral valve usually from rheumatic fever as a long term complication. Mitral facies is only a descriptive term of the thin face seen in many patients with long term mitral stenosis.

Sign of stenosis: Mitral facies is a description of facial coloration in people with significant mitral stenosis (restricted mitral valve). Because the output flow of the heart is reduced the blood flow to the face can be decreased. The patients will have red cheeks and be pale/gray over the remainder of their face.