Flail Posterior Mitral Valve Leaflet (PMVL) 🫀 🔹 What is it? Flail posterior mitral leaflet occurs when ruptured chordae allow the leaflet to flip into the left atrium during systole, resulting in severe mitral regurgitation. 🔹 Most common cause ✔️ Degenerative (myxomatous) disease ✔️ Chordal rupture ✔️ Infective endocarditis (less common) 🔹 Key Echo Clues 👀 • Hypermobile posterior leaflet moving into LA • Eccentric MR jet directed anteriorly • Severe MR on color Doppler • LA & LV volume ove
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Flail Posterior Mitral Valve Leaflet (PMVL) 🫀 🔹 What is it? Flail posterior mitral leaflet occurs when ruptured chordae allow the leaflet to flip into the left atrium during systole, resulting in severe mitral regurgitation. 🔹 Most common cause ✔️ Degenerative (myxomatous) disease ✔️ Chordal rupture ✔️ Infective endocarditis (less common) 🔹 Key Echo Clues 👀 • Hypermobile posterior leaflet moving into LA • Eccentric MR jet directed anteriorly • Severe MR on color Doppler • LA & LV volume ove
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Flail mitral valve leaflet is the the answer to my previous post: http://on.fb.me/1v05Xcs What can be seen in the short axis view (systolic frame) is that a part of the posterior leaflet is prolapsing (the leaflet appears as a little circle) the defect is located in the region P1/P2. In the color study the jet has it´s urging where the defect is. | 123sonography
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Flail mitral valve leaflet is the the answer to my previous post: http://on.fb.me/1v05Xcs What can be seen in the short axis view (systolic frame) is that a part of the posterior leaflet is prolapsing (the leaflet appears as a little circle) the defect is located in the region P1/P2. In the color study the jet has it´s urging where the defect is. | 123sonography
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