Patric Biaggi et al. JIMG 2011;4:94-97

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Date of download: 6/27/2016 Copyright © The American College of Cardiology. All rights reserved. From: Off-Pump Transapical Implantation of Artificial.

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Presentation transcript:

Patric Biaggi et al. JIMG 2011;4:94-97 Complex Mitral Valve Pathology With P1 and P2 Prolapse (A) Surgeon's view (Online Video 3): overall impression of this unusual lesion. (B) CAL view (Online Video 4): prolapse of P1 but not of the anterolateral commissure or A1; slit-like deformed subcommissure between P1 and P2 (arrowhead). (C) PS view and (D) CPM view: P1/P2 prolapse without involvement of any other segment. (E and F) CAL views using color-Doppler: in early systole (E) the main jet is central, arising from the P2/P3 subcommissure, whereas in late systole (F) the main jet is anteriorly directed, arising from the slit-like orifice of the P1/P2 prolapse (arrowhead). (G) PS view in early systole: malcoaptation of P2/P3 subcommissure (arrow) causing the early systolic jet (E). (H) MVQ (Philips Ultrasounds) image: the static reconstruction cannot represent the complex regurgitation mechanism. Abbreviations as in Figure 1. Patric Biaggi et al. JIMG 2011;4:94-97 American College of Cardiology Foundation