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Authors : Egle Rumbinaite, MD, Egle Kazakauskaite, MD.Lithuanian University of Health SciencesCardiology Department.
Parasternal long axis view: Severe dilatation of left atrium . Excentric hypertrofy of left ventricle (LV) (MMI 162.6 g/m2, RWT 0.36). Moderate LV dilatation (61 mm). Severe, excentric, anterior directed mitral valve regurgitation caused by the prolapse of the posterior leaflet (medial part of P2).
Parasternal short axis (aortic) view : Severe dilatation of left atrium . Severe, eccentric MV insufficiency directed to interatrial septum reaching pulmonary veins.
Parasternal short axis (mitral) view : Severe and eccentric regurgitation jet.
Parasternal short axis (mitral) view : Prolapse of the posterior leaflet (medial part of P2).
Apical four-chamber view : Severe dilatation of left atrium . Flail segment (P2) points towards the roof of the LA.
Apical four-chamber view : Severe, eccentric, anteriorly directed mitral valve regurgitation caused by posterior mitral leaflet prolapse.
Apical four-chamber view: Severe, eccentric, anterior directed mitral valve regurgitation caused by posterior leaflet prolapse.
Apical two-chamber view: Severe, eccentric, anterior directed mitral valve (MV) insufficiency caused posterior leaflet prolapse.
2D colour-guided CW Doppler of the regurgitant flow : High density regurgitation signal (similar to forward flow) supporting severe regurgitation.
Apical four-chamber view : Effective regurgitant orifice was computed by PISA (Nyquist, 36 cm/sec) in 1.51 cm2
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