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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 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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9 Echo Clues in Mitral Valve Prolapse Every Cardiac Sonographer Should Know 👇 1️⃣ Greater than 2mm systolic displacement (PLAX) 2️⃣ Eccentric MR jets common 3️⃣ Anterior MVP → posterior jet 4️⃣ Posterior MVP → anterior jet 5️⃣ Barlow’s = typically central jet 6️⃣ LA size matters (MR burden) 7️⃣ Mid–late systolic jet (CW) 8️⃣ Pulmonary vein flow is helpful 9️⃣ S-wave blunting/reversal = significant MR 💡 Unlock weekly case reviews that level up your echocardiography skills by joining our newslet
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