Case 2: Mitral Regurgitation - Prolapse

Clinical assessment in 3CH view Prolapse of the posterior mitral leaflet without signs of mitral regurgitation. Note the distinct late systolic „dip“ of the posterior wall.

Prolapse of the posterior mitral leaflet with mitral regurgitation. The excentric, anteriorly directed jet makes any quantification difficult. The dilated LV and LA might be interpreted as indirect signs of a significant insufficiency.

Prolapse of the anterior mitral leaflet leading to severe mitral regurgitation. Note the volume overloaded LV with preserved systolic function and the severely dilated LA.