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Fig. 3 | JA Clinical Reports

Fig. 3

From: Commissure leaflet prolapse closely mimics anterior mitral leaflet perforation in 2-D image of transesophageal echocardiography

Fig. 3

Schematic illustration of the commissure leaflet prolapse (black triangles), regurgitation orifice (blue circles), and mitral regurgitation jet (red ellipses). Case 1: Imaging plane with the probe advanced from the mid-esophageal 4-chamber view. In this image, anterior (A3), posterior (P3), and posterior commissure (PC) (black triangle c) are observed. The redundant PC (black triangle c) was superimposed on the A3. Mitral regurgitation jets due to both A3 (red ellipse b) and PC (red ellipse c) are shown, but the regurgitation orifice (blue circles b) was only shown on A3. Case 2: Imaging plane with the probe with a counterclockwise rotation from the mid-esophageal long-axis view. In this image, A1 and anterior commissure (AC) (black triangle a) are shown. Prolapse of the AC (black triangle a) is superimposed on the anterior leaflet (A1). Mitral regurgitation jet (red ellipse a) due to AC is shown with regurgitation orifice (blue circle a) due to AC prolapse

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